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Individual

DR. DOUGLAS TYRONE LIVINGSTON QUINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD, LMFT

Contact information

Practice address
1652 NAVAJO DR, SAINT GEORGE, UT 84790-7731
(415) 656-9419
Mailing address
411 VINEWOOD CT, SUISUN CITY, CA 94585-1784

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 45338
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13998775-3902
UTAH DIVISION OF PROFESSIONAL LICENSING
UT
01
45338
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
02/09/2010
Last updated
02/01/2025
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