Most Relevant Information
Provider Data
| NPI Number: | 1003655705 |
| Provider Name: | STEPHANIE RENEE MCCOY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 88737 |
Most Important Dates
| Enumeration Date: | 05/22/2024 |
| Last Updated: | 08/14/2024 |
Provider Practice Location
620 E CONCHO ST
ROCKPORT
TX
783824116
Practice Location Phone/Fax
| Phone: | 3617270988 |
| Fax: |
Provider Mailing Location
200 MARRIOTT DR
PORTLAND
TX
783742213
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |