Individual
ALKA ANNE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3407 BERRYWOOD DR, SUITE 200, COLUMBIA, MO 65201-6500
(573) 443-1177
(573) 499-1564
Mailing address
3407 BERRYWOOD DR, SUITE 200, COLUMBIA, MO 65201-6500
(573) 443-1177
(573) 499-1564
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW002402
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143173
BLUE CROSS BLUE SHIELD
MO
01
—
6205684
UNITED BEHAVIORAL HEALTH
MO
Enumeration date
07/22/2005
Last updated
07/08/2007
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