Individual
MATTHEW MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6303 OSGOOD AVE N, STILLWATER, MN 55082-6101
(651) 383-4800
Mailing address
5139 HUMBOLDT AVE N, MINNEAPOLIS, MN 55430-3426
(651) 387-6060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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