Individual provider · Type 1 NPI

Jerry Todd McCoy

Addiction (Substance Use Disorder) Counselor · Lafayette, IN

NPI number 1154904373 Active

Practice location

4705 Meijer Ct
Lafayette, IN 47905-4684

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154904373

Jerry Todd McCoy's National Provider Identifier is 1154904373, issued on May 5, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lafayette, IN. The record was last updated on May 5, 2021.