Individual
BETHEL J MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
4909 E MCDOWELL RD, PHOENIX, AZ 85008-4227
(602) 685-6000
(602) 275-1355
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(026) 685-6000
(026) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-15083
AZ
Other
Enumeration date
01/23/2019
Last updated
01/26/2022
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