Doctor Name: | TERESA MCINTIRE |
NPI Number: | 1881724748 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | IMF 50383 |
Business Practice Address: | 3191 Churn Creek Rd Redding, CA - 960022123 |
Business Phone Number: | 5302247160 |
Business Fax Number: | 5302247168 |
Mailing Address: | 3191 Churn Creek Rd, REDDING |
State: | CA |
Postal Code: | 960022123 |
Phone Number: | 5302247160 |
Fax Number: | 5302247168 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 02/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | IMF 50383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |