Individual
MR. MARK A MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MATS
Contact information
Practice address
317 S NORTON ST, MARION, IN 46952-3296
(765) 664-0101
(765) 668-8391
Mailing address
317 S NORTON ST, MARION, IN 46952-3296
(765) 664-0101
(765) 668-8391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MATS283
IN
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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