Individual
SHAWN MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2189 S AVENUE A, YUMA, AZ 85364-8308
(928) 276-9535
(928) 318-2044
Mailing address
2189 S AVENUE A, YUMA, AZ 85364-8308
(928) 276-9535
(928) 318-2044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21477
AZ
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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