Organization
QUINONES COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CARL QUINONES EDD (OWNER)
(732) 713-3124
Entity
Organization
Contact information
Practice address
1036 AMBOY AVE, EDISON, NJ 08837-2870
(732) 587-5339
(732) 647-1113
Mailing address
1036 AMBOY AVE, EDISON, NJ 08837-2870
(732) 587-5339
(732) 647-1113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400050
—
NJ
05
—
0504246
—
NJ
Enumeration date
06/30/2022
Last updated
06/30/2022
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