Individual
ANDREA L MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 420-4776
(217) 362-6290
Mailing address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 420-4776
(217) 362-6290
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
150-104132
IL
1041C0700X
Clinical Social Worker
Primary
149-023281
IL
Other
Enumeration date
05/20/2020
Last updated
09/30/2025
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