Individual
CODY SCOTT MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, BCBA
Contact information
Practice address
4530 NORTHERN SKY DR, BISMARCK, ND 58503-8534
(701) 751-6336
(701) 751-6337
Mailing address
4530 NORTHERN SKY DR, BISMARCK, ND 58503-8534
(701) 751-6336
(701) 751-6337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11110
NE
101YP2500X
Professional Counselor
CC03306
MN
103K00000X
Behavior Analyst
Primary
L108
ND
Other
Enumeration date
05/01/2017
Last updated
08/25/2022
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