Individual
DENISE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1150 UNIVERSITY AVE, SUITE 7, ROCHESTER, NY 14607-1647
(585) 442-8422
(585) 442-8494
Mailing address
PO BOX 417153, BOSTON, MA 02241-7153
(518) 952-8140
(518) 952-8287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03008239
—
NY
Enumeration date
02/29/2012
Last updated
02/29/2012
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