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NPI Code Detail

MEDICARE: MS. LOUISE MCINTYRE TOVES M.A., CSAC III, LPC

MEDICARE: MS. LOUISE MCINTYRE TOVES M.A., CSAC III, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor20-0001GU
2101YP2500XProfessional CounselorLPC-068GU

General Provider Information

NPI Number : 1003155318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOUISE MCINTYRE TOVES M.A., CSAC III, LPC
Provider Business Mailing Address
First Line : PO BOX 2845
Second Line :
City : HAGATNA
State : GU
Zip : 96932-2845
Country : US
Telephone Number : 671-488-0116
Fax Number :
Provider Business Practice Location Address
First Line : 790 GOV CARLOS G CAMACHO RD
Second Line :
City : TAMUNING
State : GU
Zip : 96913-3129
Country : US
Telephone Number : 671-475-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2013
Last Update Date : 10/01/2021

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