Individual
KANDISE NICOLE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
700 BELFORD AVE STE 102, GRAND JUNCTION, CO 81501-3171
(970) 812-3780
Mailing address
424 AMETHYST DR, FRUITA, CO 81521-8813
(970) 812-3780
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000344
CO
101YP2500X
Professional Counselor
Primary
LPC.0012066
CO
Other
Enumeration date
09/10/2007
Last updated
07/15/2025
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