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Individual
PHILLIP MONTGOMERY QUINN
Active
Individual
PHILLIP MONTGOMERY QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BBH-LCPC-LIC-35321
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-LCPC-LIC-35321
BUSINESS STANDARDS DIVISION, BOARD OF BEHAVIORAL HEALTH
MT
Enumeration date
12/27/2018
Last updated
11/08/2023
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