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Individual
LEA A. MCINTYRE
Active
Individual
LEA A. MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
64743
TX
101YP2500X
Professional Counselor
Primary
64743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137325-07
—
TX
01
—
2137325-08
CSHCS MEDICAID
—
Enumeration date
08/02/2010
Last updated
03/25/2015
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