Individual
MRS. MICHELLE LONG MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1925 CENTURY BLVD NE STE 8, ATLANTA, GA 30345-3315
(404) 320-6906
(404) 320-6907
Mailing address
1925 CENTURY BLVD NE STE 8, ATLANTA, GA 30345-3315
(404) 320-6906
(404) 320-6907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC004319
GA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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