Individual
MR. MICHAEL S MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.S.W., CADC
Contact information
Practice address
5440 W FRANKLIN RD, STE 101, BOISE, ID 83705-1079
(208) 336-9076
(208) 336-9079
Mailing address
5440 W FRANKLIN RD, STE 101, BOISE, ID 83705-1079
(208) 336-9076
(208) 336-9079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW 26787, CADC 107
ID
Other
Enumeration date
05/05/2008
Last updated
02/16/2011
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