Organization
ACTION POTENTIAL BEHAVIORAL HEALTH AND SPORT PSYCHOLOGY, PLLC
Active
Other names
Action Potential Behavioral Health, Action Potential Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAE MACINTIRE PHD (OWNER/ PSYCHOLOGIST)
(970) 609-9810
Entity
Organization
Contact information
Practice address
181 ELM AVE, GRAND JUNCTION, CO 81501-2127
(970) 609-9810
Mailing address
181 ELM AVE, GRAND JUNCTION, CO 81501-2127
(970) 609-9810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/05/2020
Last updated
02/25/2023
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