Individual
CELESTINE MARIE QUIROGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1035 S STATE ROAD 7 STE 315, WELLINGTON, FL 33414-6137
(561) 571-5501
Mailing address
1035 S STATE ROAD 7 STE 315, WELLINGTON, FL 33414-6137
(561) 571-5501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014645000
—
FL
Enumeration date
08/15/2011
Last updated
03/25/2019
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