Individual
LISSETTE QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2773
Mailing address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/06/2022
Last updated
02/24/2023
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