person
Matthew Mccoy, SUDP
Addiction (Substance Use Disorder) Counselor in Longview, Washington
NPI 1730568320

Matthew Mccoy is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Matthew Mccoy practices in Longview, WA and has the professional credentials of SUDP. The NPI Number for Matthew Mccoy is 1730568320 and holds a License No. CP60796310 (Washington).

The current practice location address for Matthew Mccoy is 1044 11Th Ave, Longview, WA and can be reached out via phone at 360-397-8228 and via fax at 360-200-6736.

Location: 1044 11Th Ave, Longview, WA, 98632
person
Provider Profile Details
NPI Number
1730568320
Provider Name
Matthew Mccoy
Credential
SUDP
Provider Entity Type
Individual
Gender
Male
Address
1044 11Th Ave, Longview, WA, 98632
Phone Number
360-397-8228
Fax Number
360-200-6736
Provider Enumeration Date
05/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2121804 05 WA
institution
Provider Business Practice Location Address Details
Address
1044 11Th Ave
City
State
Zip
98632-2506
Phone Number
360-397-8228
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
1044 11Th Ave
City
State
Zip
98632-2506
Phone Number
360-397-8228
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60796310 (Washington)
Definition
Definition to come...
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