Individual provider · Type 1 NPI

Kelly Ann McCoy, CDCA

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1649735598 Active

Practice location

811 Faircrest St SW
Canton, OH 44706-4844

Fax (330) 639-4436

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.168726 (OH)

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

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About NPI 1649735598

Kelly Ann McCoy, CDCA's National Provider Identifier is 1649735598, issued on Feb 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, OH. The record was last updated on Feb 5, 2019.