Individual
AUDRINA MARIA QUINTANAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S 5TH ST, EL CENTRO, CA 92243-3013
(760) 482-0864
Mailing address
1806 ADAMS AVE SPC 11, EL CENTRO, CA 92243-1984
(619) 966-0118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
09/03/2024
Last updated
10/22/2025
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