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Ajia Mccoy
Addiction (Substance Use Disorder) Counselor in Hesperia, California
NPI 1225431018

Ajia Mccoy is an Addiction (Substance Use Disorder) Counselor based in Hesperia, CA and is specialized in Addiction (Substance Use Disorder). Ajia Mccoy practices in Hesperia, CA. The NPI Number for Ajia Mccoy is 1225431018 and holds a License No. (California).

The current practice location address for Ajia Mccoy is 11776 Mariposa Rd # 103, Hesperia, CA and can be reached out via phone at 760-956-2462.

Location: 11776 Mariposa Rd # 103, Hesperia, CA, 92345-1622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225431018
Provider Name
Ajia Mccoy
Credential
Provider Entity Type
Individual
Gender
Female
Address
11776 Mariposa Rd # 103, Hesperia, CA, 92345-1622
Phone Number
760-956-2462
Fax Number
Provider Enumeration Date
10/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
11776 Mariposa Rd # 103
City
Hesperia
State
California
Zip
92345-1622
Phone Number
760-956-2462
Fax Number
person
Provider Business Mailing Address Details
Address
11776 Mariposa Rd # 103
City
Hesperia
State
California
Zip
92345-1622
Phone Number
760-956-2462
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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