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Individual

MRS. PATRICIA SIMONE MCINTYRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSAC,LPCA,LCASA,NCC

Contact information

Practice address
313 MARCELLA DR, KINGS MOUNTAIN, NC 28086-9251
(704) 473-5450
Mailing address
313 MARCELLA DR, KINGS MOUNTAIN, NC 28086-9251
(704) 473-5450

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25243
NC
101YM0800X
Mental Health Counselor
A14634
NC

Other

Enumeration date
02/03/2019
Last updated
01/26/2024
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