Individual
KATHERINE QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5140 DUNSTAN RD, GREENSBORO, NC 27405-9565
(336) 621-3381
Mailing address
5140 DUNSTAN RD, GREENSBORO, NC 27405-9565
(336) 621-3381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A18209
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23578
NC
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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