Individual
DAVID MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
777 S MAIN ST STE 100, CLINTON, IN 47842-2493
(765) 828-1003
Mailing address
7725 GARDEN CIRCLE CT, TERRE HAUTE, IN 47802-9346
(812) 243-0028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000487A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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