Individual
JACQUELINE DEE QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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