Individual provider · Type 1 NPI
Kim K. McIntyre, LPC
Professional Counselor · Prescott, AZ
NPI number
1457697989
Active
Practice location
505 S. Cortez St.
Prescott, AZ 86303
Fax (928) 776-8484
Mailing address
3343 N. Windsong Dr.
Prescott Valley, AZ 86314-2283
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-12760 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1457697989
Kim K. McIntyre, LPC's National Provider Identifier is 1457697989, issued on Jan 3, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Prescott, AZ. The record was last updated on Jan 3, 2013.