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Kelly Kristine Mccoy, LPC-INTERN
Professional Counselor in Granbury, Texas
NPI 1881954899

Kelly Kristine Mccoy is a Professional Counselor based in Granbury, TX and is specialized in Professional. Kelly Kristine Mccoy practices in Granbury, TX and has the professional credentials of LPC-INTERN. The NPI Number for Kelly Kristine Mccoy is 1881954899 and holds a License No. 68618 (Texas).

The current practice location address for Kelly Kristine Mccoy is 2111 W Highway 377, Granbury, TX and can be reached out via phone at 817-573-6002.

Location: 2111 W Highway 377, Granbury, TX, 76048-5627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881954899
Provider Name
Kelly Kristine Mccoy
Credential
LPC-INTERN
Provider Entity Type
Individual
Gender
Female
Address
2111 W Highway 377, Granbury, TX, 76048-5627
Phone Number
817-573-6002
Fax Number
Provider Enumeration Date
05/23/2012
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
148686201 05 TX
institution
Provider Business Practice Location Address Details
Address
2111 W Highway 377
City
Granbury
State
Texas
Zip
76048-5627
Phone Number
817-573-6002
Fax Number
person
Provider Business Mailing Address Details
Address
2111 W Highway 377
City
Granbury
State
Texas
Zip
76048-5627
Phone Number
817-573-6002
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
68618 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
68618 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
68618 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
68618 (Texas)
Definition
Definition to come...
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