Healthcare Provider Details

I. General information

NPI: 1780182428
Provider Name (Legal Business Name): JODI DENISE MCCARTHY MA, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 S 2ND ST
COSHOCTON OH
43812-1920
US

IV. Provider business mailing address

550 MAIN ST
COSHOCTON OH
43812-1612
US

V. Phone/Fax

Practice location:
  • Phone: 740-622-4470
  • Fax: 740-622-5580
Mailing address:
  • Phone: 740-291-3737
  • Fax: 833-805-3653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberM.1500005
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: