Individual
COLLEEN QUAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
12 HARDING ST STE 206, LAKEVILLE, MA 02347-1232
(774) 855-6974
(774) 855-9994
Mailing address
384 COHANNET ST, TAUNTON, MA 02780-4103
(857) 205-7031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5223
MA
Other
Enumeration date
11/08/2006
Last updated
05/05/2021
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