Individual
JENNIFER MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 CANYON CREST DR APT 203, TWIN FALLS, ID 83301-8010
(206) 303-7305
Mailing address
1935 CANYON CREST DR APT 203, TWIN FALLS, ID 83301-8010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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