Provider Demographics
NPI:1881917656
Name:MCINTIRE, BILLIE JO (MA, LPC, LAC)
Entity type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:JO
Last Name:MCINTIRE
Suffix:
Gender:
Credentials:MA, LPC, LAC
Other - Prefix:MRS
Other - First Name:BILLIE
Other - Middle Name:JO
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1001 E. 62ND AVENUE
Mailing Address - Street 2:# 436
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216
Mailing Address - Country:US
Mailing Address - Phone:720-634-6796
Mailing Address - Fax:
Practice Address - Street 1:1001 E 62ND AVE UNIT 436
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-1141
Practice Address - Country:US
Practice Address - Phone:970-576-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10649101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor