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Individual

ROBERT MCINTYRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
2176 E FRANKLIN RD STE 100, MERIDIAN, ID 83642-8009
(951) 236-3328
Mailing address
2176 E FRANKLIN RD STE 100, MERIDIAN, ID 83642-8009
(951) 236-3328

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC6463
ID
101YM0800X
Mental Health Counselor
LPC5583
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477685550
ID
Enumeration date
05/23/2014
Last updated
03/17/2018
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