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Individual

RANDAL MCINTYRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
307 E PARK AVE, SUITE 211, ANACONDA, MT 59711-2320
(406) 563-7038
(406) 563-7685
Mailing address
307 E PARK AVE, SUITE 211, ANACONDA, MT 59711-2320
(406) 563-7038
(406) 563-7685

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-1256
MT

Other

Enumeration date
01/30/2017
Last updated
01/30/2017
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