Most Relevant Information
Provider Data
| NPI Number: | 1003662131 |
| Provider Name: | RANDALL MCCOY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2024 |
| Last Updated: | 04/29/2024 |
Provider Practice Location
5566 CHEVIOT RD
CINCINNATI
OH
452477094
Practice Location Phone/Fax
| Phone: | 5139965780 |
| Fax: |
Provider Mailing Location
5566 CHEVIOT RD
CINCINNATI
OH
452477094
Provider Mailing Phone/Fax
| Phone: | 5139965780 |
| Fax: |