NPI 1174404974

Iden Campbell McCollum, CPS

Practitioner Peer Specialist Washington, DC

Practice location

Address: 700 Pennsylvania Ave SE Fl 2, Washington, DC 20003-2493
Phone: (888) 963-1828
Mailing address: 55 Court St STE 220b, Boston, MA 02108-2104

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 043 (DC)

Other Peer Specialist providers in District of Columbia →

Registry record

NPI: 1174404974
Entity type: Individual
Sex (as registered): X
NPI issued: 9 Sep 2025
Record last updated: 9 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.