| Doctor Name: | DR. KATHLEEN CABONI QUINN |
| NPI Number: | 1912909607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EDD, WHNP |
| License Number: | 0291 |
| Business Practice Address: | 744 E Second St Pass Christian, MS - 395714628 |
| Business Phone Number: | 6014670041 |
| Business Fax Number: | |
| Mailing Address: | Po Box 268, PASS CHRISTIAN |
| State: | MS |
| Postal Code: | 395710268 |
| Phone Number: | 6014670041 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0291 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |