Organization
KARISA QUICK LICENSED PROFESSIONAL CLINICAL COUNSELOR
Active
Other names
That Gay Therapist
Organization subpart
No
Provider details
NPI number
Authorized official
KARISA NICOLE QUICK LPCC (OWNER/CEO)
(909) 808-9607
Entity
Organization
Contact information
Practice address
5083 COLUMBIA DR, FONTANA, CA 92336-0617
(909) 808-9607
Mailing address
5083 COLUMBIA DR, FONTANA, CA 92336-0617
(909) 808-9607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
02/08/2022
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