Individual
LISA MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 S UNION ST, PLYMOUTH, MI 48170-1612
(480) 707-8259
Mailing address
18185 PARKSHORE DR, NORTHVILLE, MI 48168-8591
(480) 707-8259
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-003656
IL
101YP2500X
Professional Counselor
Primary
6401016635
MI
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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