# MR. PAUL QUIJANO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649667627
- **Gender:** Man
- **Credential:** LADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 31 | ME | Yes |

## Other

- **Enumeration date:** 04/17/2015
- **Last updated:** 04/17/2015