Individual
JESSICA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
677 E MAIN ST, SUITE A, CENTREVILLE, MI 49032-8524
(269) 467-1000
Mailing address
677 E MAIN ST, SUITE A, CENTREVILLE, MI 49032-8524
(269) 467-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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