Individual
JEANNA RENEE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC, LPCS, NCC
Contact information
Practice address
1110 KINLEY RD, IRMO, SC 29063-9633
(803) 381-5637
(803) 753-0041
Mailing address
1110 KINLEY RD, IRMO, SC 29063-9633
(803) 381-5637
(803) 753-0041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5608
SC
Other
Enumeration date
11/04/2010
Last updated
07/12/2023
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