Individual
JERROD MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5506 W 16TH STREET LN, GREELEY, CO 80634-2967
(970) 302-2107
Mailing address
5506 W 16TH STREET LN, GREELEY, CO 80634-2967
(970) 302-2107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5218
CO
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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