Individual
CARSON DOUGLAS MACINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCPC
Contact information
Practice address
123 GARFIELD ST SE, RONAN, MT 59864-3316
(320) 318-3811
Mailing address
123 GARFIELD ST SE, RONAN, MT 59864-3316
(320) 318-3811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
196757
AK
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-55522
MT
Other
Enumeration date
09/13/2022
Last updated
09/29/2025
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