| Mcintosh Lifecoach | |
|
610 Peppers Fry Rd Nw Ste E Christiansburg VA 24073-5703 | |
| (814) 572-4708 | |
| Not Available |
| Full Name | Mcintosh Lifecoach |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 610 Peppers Fry Rd Nw Ste E, Christiansburg, Virginia |
| Authorized Official Name and Position | Mary Mcintosh (OWNER) |
| Authorized Official Contact | 5404496240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcintosh Lifecoach 1085 Juniper Dr Christiansburg VA 24073-5891 Ph: (814) 572-4708 | Mcintosh Lifecoach 610 Peppers Fry Rd Nw Ste E Christiansburg VA 24073-5703 Ph: (814) 572-4708 |
| NPI Number | 1447807342 |
|---|---|
| Provider Enumeration Date | 08/25/2019 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447807342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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