| Doctor Name: | KEN M MCINTEE |
| NPI Number: | 1053326769 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW, CDP, SAP |
| License Number: | CP00003126 |
| Business Practice Address: | 33600 6th Ave S Ste 108 Federal Way, WA - 980036743 |
| Business Phone Number: | 2533327431 |
| Business Fax Number: | 2538157880 |
| Mailing Address: | 34244 38th Pl Sw, FEDERAL WAY |
| State: | WA |
| Postal Code: | 980232946 |
| Phone Number: | 2533327431 |
| Fax Number: | 2538157880 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP00003126 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |