Individual provider · Type 1 NPI
Bethel J. McCoy, LISAC
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1194289124
Active
Practice location
4909 E Mcdowell Rd
Phoenix, AZ 85008-4227
Fax (602) 275-1355
Mailing address
3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-15083 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1194289124
Bethel J. McCoy, LISAC's National Provider Identifier is 1194289124, issued on Jan 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 26, 2022.