Organization
ASHLEY MCCOY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY E MCCOY LMFT (THERAPIST)
(530) 368-3211
Entity
Organization
Contact information
Practice address
124 CLYDE DAY RD, DERIDDER, LA 70634-5876
(530) 368-3211
Mailing address
124 CLYDE DAY RD, DERIDDER, LA 70634-5876
(530) 368-3211
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
90420
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
90420
CA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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