Individual
MS. DEBRA V QUAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
755 E 2ND AVE, SUITE 2D, DURANGO, CO 81301-5498
(970) 570-7309
Mailing address
272 NW MEDICAL LOOP STE E, ROSEBURG, OR 97471-5545
(541) 900-4285
(888) 810-2993
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1017
CO
106H00000X
Marriage & Family Therapist
T1562
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T1562
STATE LICENSES MARRIAGE AND FAMILY THERAPIST
OR
Enumeration date
02/12/2007
Last updated
01/08/2020
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