Individual
ZACHARY MONROE QUINTANAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
Mailing address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-1344
WY
101YP2500X
Professional Counselor
Primary
LPC-2377
WY
Other
Enumeration date
08/23/2022
Last updated
01/21/2025
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