Individual
DANIELLE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1139 N NANCY ST, EAST PEORIA, IL 61611-9554
(309) 645-9620
Mailing address
1139 N NANCY ST, EAST PEORIA, IL 61611-9554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.011263
IL
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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