Individual
MS. HEATHER MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
200 N 34TH ST, GOOD LIFE COUNSELING & SUPPORT LLC, NORFOLK, NE 68701-3197
(402) 371-3044
(402) 371-9643
Mailing address
406 N 11TH ST, NORFOLK, NE 68701-3830
(402) 371-4752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2768
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243545
MIDLANDS CHOICE
NE
05
—
47083165926
—
NE
01
—
85257
BCBS
NE
Enumeration date
08/02/2006
Last updated
07/08/2007
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