Most Relevant Information
Provider Data
| NPI Number: | 1003644964 |
| Provider Name: | KAILA LYNN RASHON MCCOY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/23/2024 |
| Last Updated: | 07/23/2024 |
Provider Practice Location
2200 S VINE ST
MUNCIE
IN
473024228
Practice Location Phone/Fax
| Phone: | 7657307318 |
| Fax: |
Provider Mailing Location
2200 S VINE ST
MUNCIE
IN
473024228
Provider Mailing Phone/Fax
| Phone: | 7657307318 |
| Fax: |