Individual
MRS. JENNIFER A QUINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1514 W FAIRMONT ST STE 102, LONGVIEW, TX 75604-4526
(903) 746-7228
Mailing address
2902 HOUSTON ST, KILGORE, TX 75662-3449
(903) 746-7228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68055
TX
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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