Provider Demographics
NPI:1619227345
Name:MCCOY, ANN (LCPC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:MCCOY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8344 WILLIAMSTOWNE DR
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1066
Mailing Address - Country:US
Mailing Address - Phone:410-987-4490
Mailing Address - Fax:
Practice Address - Street 1:8344 WILLIAMSTOWNE DR
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1066
Practice Address - Country:US
Practice Address - Phone:410-987-4490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3585101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health