Individual
QUINTON MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-3955
(214) 462-0442
Mailing address
4001 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-3955
(214) 462-0442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2023-0036
NM
310400000X
Assisted Living Facility
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Other
Enumeration date
09/14/2015
Last updated
03/22/2023
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