Provider Demographics
NPI:1679793947
Name:MCINTOSH, HELEN MARIE (MA, LPC, LCADC, CSW)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:MARIE
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:MA, LPC, LCADC, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-2945
Mailing Address - Country:US
Mailing Address - Phone:908-892-1972
Mailing Address - Fax:908-454-9677
Practice Address - Street 1:535 ROUTE 523 SOUTH
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-4011
Practice Address - Country:US
Practice Address - Phone:908-892-1972
Practice Address - Fax:908-454-9677
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00339000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional