Individual
MRS. KIMBERLY BETH MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHCS
Contact information
Practice address
300 E ARLINGTON BLVD STE 1, GREENVILLE, NC 27858-5037
(252) 717-9917
Mailing address
1209 TRAFALGAR RD, WINTERVILLE, NC 28590-9854
(252) 717-9917
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4144
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138FA
BCBS
NC
05
—
6102136
—
NC
Enumeration date
03/01/2007
Last updated
02/27/2021
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