Organization
NEW SPARK COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JUSTIN QUINTANA LMFT (LEAD CLINICIAN/PRACTICE OWNER)
(956) 410-2802
Entity
Organization
Contact information
Practice address
355 PALM BLVD, BROWNSVILLE, TX 78520-5431
(956) 455-7811
Mailing address
355 PALM BLVD, BROWNSVILLE, TX 78520-5431
(956) 410-2802
(866) 892-0888
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
09/30/2024
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