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Individual

MS. GINA L MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICDC-CS

Contact information

Practice address
1680 NAVE RD SE, MASSILLON, OH 44646-9604
(330) 830-8740
(330) 830-0912
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.965681
OH

Other

Enumeration date
06/14/2017
Last updated
01/02/2024
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