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Individual

QUINTIN FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC-T

Contact information

Practice address
55 W 125TH ST, 11TH FLOOR, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193
Mailing address
55 W 125TH ST, 11TH FLOOR, NEW YORK, NY 10027-4516
(212) 864-4128
(212) 662-9193

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32385
NY

Other

Enumeration date
07/15/2016
Last updated
07/15/2016
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