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General NPI Number Information
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NPI Number | 1053380329
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Entity Type | Individual
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Provider Name | CHERYLYN MCINTOSH LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1900 LAMY LN SUITE O
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City | MONROE
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State | LA
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Zip | 71201-9207
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Country | US
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Telephone | 318-322-9523
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Fax | 318-322-9213
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Provider Business Mailing Address
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Address Line | 219 WILLIS RD
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City | RAYVILLE
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State | LA
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Zip | 71269-5835
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Country | US
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Telephone | 318-248-3884
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Fax | 318-322-9213
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2676
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 233
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License Number State | LA
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