Most Relevant Information
Provider Data
NPI Number: | 1003250010 |
Provider Name: | KELLEY MCCOY LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 65708 |
Most Important Dates
Enumeration Date: | 04/20/2013 |
Last Updated: | 04/20/2013 |
Provider Practice Location
1401 N CENTRAL EXPY STE 375
RICHARDSON
TX
750804657
Practice Location Phone/Fax
Phone: | 2147339877 |
Fax: |
Provider Mailing Location
1205 BRAZOS CT
ALLEN
TX
750024465
Provider Mailing Phone/Fax
Phone: | 2147339877 |
Fax: |