Individual
EMMA QUILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
935 STATE ROUTE VV, KENNETT, MO 63857-3822
(573) 888-5925
Mailing address
935 STATE ROUTE VV, KENNETT, MO 63857-3822
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018038051
MO
Other
Enumeration date
08/01/2019
Last updated
10/30/2019
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