Individual
CHRISTOPHER MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-CP, CACII
Contact information
Practice address
10415 BROAD RIVER RD, SUITE F, IRMO, SC 29063-9686
(803) 719-0488
Mailing address
10415 BROAD RIVER RD, SUITE F, IRMO, SC 29063-9686
(803) 719-0488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1404045
SC
1041C0700X
Clinical Social Worker
Primary
9195
SC
Other
Enumeration date
11/26/2012
Last updated
02/04/2016
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