Individual
AMANDA LEE ANN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MED, LPCA
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
280757
KY
Other
Enumeration date
01/28/2014
Last updated
08/18/2023
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