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1538520556
ERIC MCCOY
LAKE ELSINORE, CA
NPI
1538520556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2016-03-18
Last Update Date
2022-07-21
Business Address
ERIC MCCOY CATC II
18989 GRAND AVE
LAKE ELSINORE, CA 92530-6259
Phone number: 951-302-2392
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Mailing Address
ERIC MCCOY CATC II
650 E BONITA AVE
SAN DIMAS, CA 91773-2767
Phone number: 909-973-7273
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