Jessica Mccollum

NPI #1336736032 in Lake Orion, Michigan

Provider Information

NPI Number: 1336736032
Entity Type: Individual
Name: Jessica Mccollum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 29, 2020
Last Updated: Dec 29, 2020

Practice Location

Address: 3291 PIN OAK DR
City: Lake Orion
State: Michigan
ZIP Code: 48359-1169
Phone: (248) 410-1938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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