Individual
BRENDA LEIGH MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
119 W 6TH ST, EAST LIVERPOOL, OH 43920-2921
(330) 932-0698
Mailing address
PO BOX 464, LISBON, OH 44432-0464
(330) 424-1468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E1300045
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216550
—
OH
Enumeration date
05/13/2014
Last updated
01/19/2018
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