Individual
RALPH KENNETH MCCOY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA QMHP-A QIDP/QDDP
Contact information
Practice address
8119 NASHUA DR, MIDLOTHIAN, VA 23112-7622
(267) 709-1186
Mailing address
8119 NASHUA DR, MIDLOTHIAN, VA 23112-7622
(267) 709-1186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11469079
VA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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