CHRISTINE MCCOLLUM LICDC, OCPSII, MACM
NPI 1770902702
Counselor - Addiction (Substance Use Disorder) in Boardman, OH

Q: What is Christine Mccollum's NPI number?

The NPI number for Christine Mccollum is 1770902702. It was assigned to this individual provider in the NPPES registry on April 7, 2014. The provider is also known as Christine Kraemer.

Q: What is Christine Mccollum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since April 07, 2014

930 TRAILWOOD DR, BOARDMAN, OH 44512(513) 834-7063 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 30, 2020, Apr 17, 2019 (2 updates tracked since 2019).

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About Christine Mccollum Licdc, Ocpsii, Macm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE MCCOLLUM LICDC, OCPSII, MACM (NPI 1770902702) is an individual addiction (substance use disorder) provider in Boardman, Ohio, licensed in Ohio (LICDC.111100) and active in the NPI registry since April 2014. She maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1770902702

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCHRISTINE MCCOLLUMCredential: LICDC, OCPSII, MACM

Location Address930 TRAILWOOD DRBoardman, OH 44512-5007

Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1459 · (513) 834-7063 · Fax (513) 873-1567

Phone(513) 834-7063

Sole ProprietorYes

Enumeration DateApril 7, 2014

Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration

NPPES CertifiedNovember 30, 2020

✔ NPI 1770902702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in OH · LICDC.111100✔ Licensed in OH · LICDC111100

Also ListedPrevention ProfessionalTaxonomy 405300000X · License OCPC1061 (OH)

930 TRAILWOOD DR, Boardman, OH 44512

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Other Names 1

Former Name (1)Christine Kraemer

Secondary Practice Location 1

Location 1811 Faircrest St SWCanton, OH 44706-4844 · Phone (330) 639-4408 · Fax (330) 639-4436

Other Identifiers 1

Medicaid0199144OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Insurance, Oscar Insurance Corporation of Ohio.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN SAFAR CDCA

Counselor (Addiction (Substance Use Disorder))