Individual
MR. QUINCY ALEXANDER GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APCC
Contact information
Practice address
1625 CARROLL AVE, SAN FRANCISCO, CA 94124-3219
(415) 822-8200
Mailing address
1130 3RD AVE APT 1410, OAKLAND, CA 94606-2245
(404) 641-9561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
APCC
CA
Other
Enumeration date
09/13/2021
Last updated
04/06/2023
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