Individual
JAMES MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
618 W GRAND AVE, DAYTON, OH 45406-5315
(937) 829-7621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171090
OH
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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