Individual
BRANDON MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
609 BRYDEN AVE STE B, LEWISTON, ID 83501-5193
(208) 413-9973
Mailing address
523 1/2 MAIN ST STE 7, LEWISTON, ID 83501-1870
(208) 413-9973
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-35523
ID
Other
Enumeration date
05/04/2015
Last updated
07/19/2023
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