Doctor Name: | WINIFRED MARY QUINN |
NPI Number: | 1528457371 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 70245 |
Business Practice Address: | 19965 Fm 3175 Lytle, TX - 780523481 |
Business Phone Number: | 2103570365 |
Business Fax Number: | 8307724302 |
Mailing Address: | 19965 Fm 3175, P. O. Box 725 LYTLE |
State: | TX |
Postal Code: | 780523481 |
Phone Number: | 2103570365 |
Fax Number: | 8307724302 |
NPI Enumeration Date: | 01/16/2015 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 70245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |