Individual
JORDAN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2369 PASADENA LN, LAKE ISABELLA, CA 93240-9388
(424) 439-0759
Mailing address
PO BOX 2632, LAKE ISABELLA, CA 93240-2632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/09/2024
Last updated
06/05/2025
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