Mccoy, Jay Russel

Mccoy, Jay Russel is an individual health care provider with primary practice located at 11024 N 28Th Drive Suite 200, Phoenix AZ 85029. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Mccoy, Jay Russel can be contacted via phone (602) 789-1359.

Contact Information

Primary practice address
11024 N 28Th Drive Suite 200 Phoenix AZ 85029
Phone: (602) 789-1359
Fax: (602) 866-6903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC0241 Arizona

Profile Details

NPI number 1992861942
LBN Legal business name Mccoy, Jay Russel
Credentials MA LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 18 years 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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