| Doctor Name: | JESSICA MCCOY |
| NPI Number: | 1033563432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2054 |
| Business Practice Address: | 1415 College Dr Meridian, MS - 393075345 |
| Business Phone Number: | 6014834821 |
| Business Fax Number: | 6014858727 |
| Mailing Address: | 1415 College Dr, MERIDIAN |
| State: | MS |
| Postal Code: | 393075345 |
| Phone Number: | 6014834821 |
| Fax Number: | 6014858727 |
| NPI Enumeration Date: | 04/21/2016 |
| NPI Last Update Date: | 04/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |