Most Relevant Information
Provider Data
| NPI Number: | 1003343609 |
| Provider Name: | DANIEL ERIC MCCOY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/15/2017 |
| Last Updated: | 10/21/2024 |
Provider Practice Location
1021 I ST
MODESTO
CA
953542331
Practice Location Phone/Fax
| Phone: | 2095522890 |
| Fax: |
Provider Mailing Location
413 SAN ANDREAS CT
MODESTO
CA
953543385
Provider Mailing Phone/Fax
| Phone: | 2094807911 |
| Fax: |