Doctor Name: | JUNKO QUEST |
NPI Number: | 1508243437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | IMF 72932 |
Business Practice Address: | 628 Montezuma St Rio Vista, CA - 945711622 |
Business Phone Number: | 7073745243 |
Business Fax Number: | |
Mailing Address: | 628 Montezuma St, RIO VISTA |
State: | CA |
Postal Code: | 945711622 |
Phone Number: | 7073745243 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2015 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMF 72932 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |