Individual
MS. MAX MARIE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
2910 BRIARCLIFF RD, SUITE B, WINSTON-SALEM, NC 27106-3077
(336) 682-3519
(336) 773-0332
Mailing address
5025 ELTHA DR, APT. G, WINSTON-SALEM, NC 27105-1112
(336) 682-3519
(336) 773-0332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4102
LPC
NC
05
—
6103082
—
NC
01
—
67403
NCC
—
Enumeration date
06/16/2006
Last updated
07/08/2007
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