Individual
DR. AVIS COURTNEY QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC
Contact information
Practice address
3332 PAMLICO DR, ROANOKE, VA 24018-4931
(540) 257-4429
Mailing address
3332 PAMLICO DR, ROANOKE, VA 24018-4931
(540) 257-4429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003479
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701003479
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS LPC
VA
Enumeration date
04/04/2013
Last updated
04/04/2013
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