Provider Demographics
NPI:1215926225
Name:MCINTURFF, CAROLYN JEAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:JEAN
Last Name:MCINTURFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 COCHRANE CIR
Mailing Address - Street 2:BLDG. 7503, CAFAC ROOM 1209
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4613
Mailing Address - Country:US
Mailing Address - Phone:719-526-4932
Mailing Address - Fax:719-526-0608
Practice Address - Street 1:1650 COCHRANE CIR
Practice Address - Street 2:BLDG. 7503, CAFAC ROOM 1209
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4613
Practice Address - Country:US
Practice Address - Phone:719-526-4932
Practice Address - Fax:719-526-0608
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0003541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical