Provider Demographics
NPI:1235462276
Name:MCCOY, SHARON LOUISE (BA)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:LOUISE
Last Name:MCCOY
Suffix:
Gender:F
Credentials:BA
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1404
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74502-1404
Mailing Address - Country:US
Mailing Address - Phone:918-423-6030
Mailing Address - Fax:918-423-2370
Practice Address - Street 1:1407 NE D ST
Practice Address - Street 2:
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462-2815
Practice Address - Country:US
Practice Address - Phone:918-967-4463
Practice Address - Fax:918-967-2594
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)