Individual
CARLY QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 CIVIC CT STE 100, CONCORD, CA 94520-5290
(925) 270-1444
Mailing address
1441 DETROIT AVE APT 350, CONCORD, CA 94520-3526
(925) 963-7671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19348
CA
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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