Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Paul Charles McCollum, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1841996451

Mr. Paul Charles McCollum, LADC is an Addiction (Substance Use Disorder) Counselor in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

10077 Dogwood St NW Ste 110
Coon Rapids, MN 55448-5285
Phone: (651) 777-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 305758 (MN)

Record details

NPI number1841996451
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESSeptember 7, 2024
Certification dateSeptember 7, 2024

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