Individual
CHAD MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1015 WATERWOOD PKWY STE G-M1, EDMOND, OK 73034-5370
(405) 513-0282
Mailing address
1015 WATERWOOD PKWY STE G-M1, EDMOND, OK 73034-5370
(405) 513-0282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146757011
—
OK
01
—
5743
LICENSED PROFESSIONAL COUNSELOR
OK
Enumeration date
01/28/2010
Last updated
09/10/2019
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