JERRY TODD MCCOY

LAFAYETTE, IN
NPI1154904373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
Mr. JERRY TODD MCCOY
4705 MEIJER CT
LAFAYETTE, IN 47905-4684
Phone number: 765-701-6060
Mailing Address
Mr. JERRY TODD MCCOY
4705 MEIJER CT
LAFAYETTE, IN 47905-4684
Phone number: 765-701-6060
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