Individual
MR. JAY RUSSEL MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
11024 N 28TH DRIVE, SUITE 200, PHOENIX, AZ 85029
(602) 789-1359
(602) 866-6903
Mailing address
11024 N 28TH DRIVE, SUITE 200, PHOENIX, AZ 85029
(602) 789-1359
(602) 866-6903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC0241
AZ
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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