Individual
MR. JACOB DIXON MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
16 PLEASANT HILL RD, HARRISONBURG, VA 22801-5709
(833) 510-4357
(866) 460-2997
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(540) 333-3880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103730
VA
Other
Enumeration date
06/29/2023
Last updated
06/30/2023
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