Individual
MR. KIM K. MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
505 S. CORTEZ ST., PRESCOTT, AZ 86303
(928) 445-5211
(928) 776-8484
Mailing address
3343 N. WINDSONG DR., PRESCOTT VALLEY, AZ 86314-2283
(928) 445-5211
(928) 776-8484
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12760
AZ
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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