Samantha Mackintosh, LAC

NPI #1669939757 in Orange, New Jersey

Provider Information

NPI Number: 1669939757
Entity Type: Individual
Name: Samantha Mackintosh, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LAC
Enumeration Date: Feb 25, 2019
Last Updated: Feb 25, 2019

Practice Location

Address: 395 S CENTER ST
City: Orange
State: New Jersey
ZIP Code: 07050-3205
Phone: (973) 675-3817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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