Individual
CAMILLA WILSON MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PINEY FOREST ROAD, DANVILLE, VA 24540
(434) 272-8372
(434) 381-4316
Mailing address
500 PINEY FOREST ROAD, DANVILLE, VA 24540
(434) 272-8372
(434) 381-4316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701005374
VA
101YP2500X
Professional Counselor
0701005374
VA
101YP2500X
Professional Counselor
Primary
12692
NC
101YP2500X
Professional Counselor
6401224612
MI
101YP2500X
Professional Counselor
LH61566999
WA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/14/2012
Last updated
04/22/2026
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