Provider Demographics
NPI:1831110154
Name:MCINTEE, JEANNE DALY (LICSW)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:DALY
Last Name:MCINTEE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:E
Other - Last Name:DALY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:45 10TH ST W
Mailing Address - Street 2:OUT-PATIENT BEHAVIORAL HEALTH AND ADDICTION MEDICINE
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1062
Mailing Address - Country:US
Mailing Address - Phone:651-232-3640
Mailing Address - Fax:
Practice Address - Street 1:45 10TH ST W
Practice Address - Street 2:OUT-PATIENT BEHAVIORAL HEALTH AND ADDICTION MEDICINE
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1062
Practice Address - Country:US
Practice Address - Phone:651-232-3640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN79411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical