Provider Demographics
NPI:1013034586
Name:MCINTYRE, KATHRYN MILLER (LPC, CRC)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:MILLER
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 YOW DR
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-2025
Mailing Address - Country:US
Mailing Address - Phone:828-298-8429
Mailing Address - Fax:
Practice Address - Street 1:57 YOW DR
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-2025
Practice Address - Country:US
Practice Address - Phone:828-298-8429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4442101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional