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Individual

CARMEN RACHELLE MCINTYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1322 S CAMPBELL AVE, SPRINGFIELD, MO 65807-1445
(417) 865-8943
(417) 831-6839
Mailing address
1322 S CAMPBELL AVE, SPRINGFIELD, MO 65807-1445
(417) 865-8943
(417) 831-6839

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2011029174
MO

Other

Enumeration date
11/26/2013
Last updated
11/26/2013
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