Individual
CALLIE ELIZABETH QUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. MHA
Contact information
Practice address
915 N LAUREL RD, LONDON, KY 40741-9029
(606) 864-2104
Mailing address
1865 BACON AVE, CORBIN, KY 40701-2356
(606) 304-8921
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
296112
KY
Other
Enumeration date
09/14/2018
Last updated
12/10/2024
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