Individual
MRS. TRISTA MARIE QUINONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
(608) 361-7200
Mailing address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
(608) 361-7200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19507-013
WI
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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