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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-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.