Individual
KANESHIA MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 WASHINGTON ST, MONROE, LA 71201-7046
(318) 325-8050
Mailing address
1705 WASHINGTON ST, MONROE, LA 71201-7046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
04/27/2018
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