Individual
MS. DESIREE NADINE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADJUNCT STAFF
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533
(707) 784-2128
(707) 427-2981
Mailing address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8066
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
175T00000X
Peer Specialist
Primary
MPSS-ODSGKZ
CA
251S00000X
Community/Behavioral Health Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/12/2013
Last updated
03/31/2026
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