Individual
PATRICK OWEN MCCLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
2915 DRY PONDS RD, GRANITE FALLS, NC 28630-9652
(828) 638-1434
Mailing address
2915 DRY PONDS RD, GRANITE FALLS, NC 28630-9652
(828) 638-1434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22971
NC
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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