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Individual
RUBEN QUINTANA
Active
Individual
RUBEN QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16226
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-38931
MT
104100000X
Social Worker
BBHSWLCLIC44815
MT
Other
Enumeration date
05/03/2019
Last updated
01/04/2023
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