Individual
KATIE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. LADC, LPCC
Contact information
Practice address
4510 77TH ST W, EDINA, MN 55435-5505
(952) 567-6600
Mailing address
4510 77TH ST W, EDINA, MN 55435-5505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306481
MN
101YM0800X
Mental Health Counselor
Primary
4511
MN
Other
Enumeration date
08/06/2024
Last updated
01/16/2025
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