Brandon Mcintosh, LCSW

NPI #1205213857 in Lewiston, Idaho

Provider Information

NPI Number: 1205213857
Entity Type: Individual
Name: Brandon Mcintosh, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 4, 2015
Last Updated: Jul 19, 2023

Practice Location

Address: 609 BRYDEN AVE STE B
City: Lewiston
State: Idaho
ZIP Code: 83501-5193
Phone: (208) 413-9973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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