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Individual
MS. TINA BETH MCINTIRE
Active
Individual
MS. TINA BETH MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADAC II A677011
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADAC LR 160 112
CA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
07/02/2013
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