Doctor Name: | MS. ERIKA SIMONE QUINLAN |
NPI Number: | 1992173082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S NCC |
License Number: | |
Business Practice Address: | 405 Nc-65 Wentworth, NC - 27375 |
Business Phone Number: | 3363428316 |
Business Fax Number: | 3363428352 |
Mailing Address: | 405 Nc-65, WENTWORTH |
State: | NC |
Postal Code: | 27375 |
Phone Number: | 3363428316 |
Fax Number: | 3363428352 |
NPI Enumeration Date: | 09/08/2015 |
NPI Last Update Date: | 09/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |