Individual
SELENA QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC, NCC
Contact information
Practice address
204 E WASHINGTON ST, ANN ARBOR, MI 48104-2070
(734) 992-7700
Mailing address
1920 LINCOLN RD, ALLEGAN, MI 49010-8938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022834
MI
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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