Individual
MS. MOLLY TERESE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-MH,LAC
Contact information
Practice address
2500 W 49TH ST, STE 225, SIOUX FALLS, SD 57105-6508
(605) 999-6162
(605) 942-7300
Mailing address
2500 W 49TH ST, STE 225, SIOUX FALLS, SD 57105-6508
(605) 999-6162
(605) 942-7300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11091485
SD
101YM0800X
Mental Health Counselor
Primary
LPC-MH2235
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790026243
—
SD
Enumeration date
03/08/2013
Last updated
11/05/2020
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