Kenneth Mccoy is a Peer Specialist based in Detroit, MI. Kenneth Mccoy practices in Detroit, MI. The NPI Number for Kenneth Mccoy is 1487262580 and holds a License No. (Michigan).
The current practice location address for Kenneth Mccoy is 1121 E Mcnichols Rd, Detroit, MI and can be reached out via phone at 313-365-3106.
Location: 1121 E Mcnichols Rd, Detroit, MI, 48203-2857
Provider Profile Details
NPI Number
1487262580
Provider Name
Kenneth Mccoy
Credential
Provider Entity Type
Individual
Gender
Male
Address
1121 E Mcnichols Rd, Detroit, MI, 48203-2857
Phone Number
313-365-3106
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1121 E Mcnichols Rd
City
State
Zip
48203-2857
Phone Number
313-365-3106
Fax Number
Provider Business Mailing Address Details
Address
1121 E Mcnichols Rd
City
State
Zip
48203-2857
Phone Number
313-365-3106
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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