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Individual
GLORIA QUEVEDO
Active
Individual
GLORIA QUEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002903
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005408482
—
VA
01
—
264926000
MAGELLAN
VA
01
—
293620
MAMSI
VA
01
—
385442
ANTHEM
VA
01
—
509867669
UBH
VA
01
—
541598045
NCPPO
VA
01
—
7293273
AETNA BEHAVIORAL
VA
01
—
89130013
CAREFIRST BCBS
VA
Enumeration date
04/20/2006
Last updated
07/29/2011
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