Individual
TIMOTHY J MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LSW LPC
Contact information
Practice address
39 DEPOT ST, SUITE ONE, JANE LEW, WV 26378
(304) 884-8878
(304) 884-8878
Mailing address
PO BOX 184, 39 DEPOT ST SUITE ONE, JANE LEW, WV 26378
(304) 884-8878
(304) 884-8878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/30/2007
Last updated
10/26/2007
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