Individual
TABITHA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5 RIDGE RD, MOULTRIE, GA 31768-6832
(229) 234-1435
Mailing address
5 RIDGE RD, MOULTRIE, GA 31768-6832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT001581
GA
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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