Individual
MR. QUINTIN TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
9475 LOTTSFORD RD STE 250, LARGO, MD 20774-5346
(301) 636-6504
(301) 636-6509
Mailing address
9475 LOTTSFORD RD STE 250, UPPER MARLBORO, MD 20774-5346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7176
MD
Other
Enumeration date
03/21/2016
Last updated
02/18/2017
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