Individual provider · Type 1 NPI
Clinton J. McCoy
Addiction (Substance Use Disorder) Counselor · Chicago, IL
NPI number
1861242844
Active
Practice location
10644 S Forest Ave
Chicago, IL 60628-2845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861242844
Clinton J. McCoy's National Provider Identifier is 1861242844, issued on Mar 25, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Mar 25, 2024.