MATTHEW MCCOY

LONGVIEW, WA
NPI1730568320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP60796310)
Enumeration Date2015-05-28
Last Update Date2020-10-30
Business Address
MATTHEW MCCOY SUDP
1044 11TH AVE
LONGVIEW, WA 98632-2506
Phone number: 360-397-8228
Mailing Address
MATTHEW MCCOY SUDP
PO BOX 2394
LONGVIEW, WA 98632
Phone number: 360-200-5419
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