Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 101YM0800X | Mental Health Counselor | 9436 | MA |
NPI | 1003252370 |
---|---|
Provider Name | Meghan B. Mcintire |
First Address | Worcester, MA 01605-1223 |
Second Address | Worcester, MA 01605-1223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 29/06/2021 |