Individual
MISS CATHERINE LEE MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC INTERN
Contact information
Practice address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 455-4260
(775) 455-4259
Mailing address
1755 SULLIVAN LN, SPARKS, NV 89431-2815
(775) 455-4260
(775) 455-4259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205389129
—
NV
Enumeration date
09/23/2019
Last updated
09/23/2019
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