Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 20-0001 | GU |
Y | 101YP2500X | Professional Counselor | LPC-068 | GU |
NPI | 1003155318 |
---|---|
Provider Name | Ms. Louise Mcintyre Toves |
First Address | Hagatna, GU 96932-2845 |
Second Address | Tamuning, GU 96913-3129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2013 |
Last Update Date | 01/10/2021 |