Mccoy, Desiree Nadine
Mccoy, Desiree Nadine is an sole proprietor health care provider with primary practice located at 2101 Courage Dr , Fairfield CA 94533. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Agencies / Community/Behavioral Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Mccoy, Desiree Nadine can be contacted via phone (707) 784-2128.Contact Information
Primary practice address
2101 Courage Dr
Fairfield CA 94533
Phone: (707) 784-2128
Fax: (707) 427-2981
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | California | |
Agencies / Community/Behavioral Health | 251S00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | MPSS-ODSGKZ | California |
Profile Details
NPI number | 1942641337 |
---|---|
LBN Legal business name | Mccoy, Desiree Nadine |
Credentials | ADJUNCT STAFF |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 12th, 2013 |
Last updated | Jul 17th, 2024 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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