Individual provider · Type 1 NPI

Matthew McCoy, SUDP

Addiction (Substance Use Disorder) Counselor · Longview, WA

NPI number 1730568320 Active

Practice location

1044 11th Ave
Longview, WA 98632-2506

Fax (360) 200-6736

Mailing address

PO Box 2394
Longview, WA 98632

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60796310 (WA)

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

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About NPI 1730568320

Matthew McCoy, SUDP's National Provider Identifier is 1730568320, issued on May 28, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, WA. The record was last updated on Oct 30, 2020.