Individual
MI'CHELLE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2874
(907) 729-5020
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6799
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
02/24/2026
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