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Individual
MR. JUAN ANTONIO QUINTANILLA
Active
Individual
MR. JUAN ANTONIO QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMF51969
CA
101YM0800X
Mental Health Counselor
IMF72871
CA
106H00000X
Marriage & Family Therapist
Primary
85178
CA
Other
Enumeration date
03/27/2007
Last updated
11/07/2019
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