Individual
TRICIA N MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 NEW PARK AVE, WEST HARTFORD, CT 06110-1352
(860) 816-0377
(855) 535-5241
Mailing address
528 NEW PARK AVE, WEST HARTFORD, CT 06110-1352
(860) 816-0377
(855) 535-5241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
000077
CT
Other
Enumeration date
11/22/2022
Last updated
01/16/2024
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