Individual
MS. MARY JEAN MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
615 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701-4313
(573) 334-2889
(573) 651-9152
Mailing address
615 N BROADVIEW ST, CAPE GIRARDEAU, MO 63701-4313
(573) 334-2889
(573) 651-9152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000845
MO
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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