Individual
KENNETH MICHAEL MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDAC II
Contact information
Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 694-5593
Mailing address
215 LORING AVE, SALEM, MA 01970-4350
(617) 694-5593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16841
MA
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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