Individual
MR. JEFF MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS COUNSELOR, LPC
Contact information
Practice address
32 N. 10TH AVE, SUITE 200, PAGE, AZ 86040-4884
(928) 660-0256
Mailing address
PO BOX 4884, PAGE, AZ 86040-4884
(928) 660-0256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-12648
AZ
Other
Enumeration date
07/26/2007
Last updated
07/16/2015
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