Organization
KATIE QUINLAN, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE QUINLAN LPC (OWNER)
(434) 770-4256
Entity
Organization
Contact information
Practice address
125 RIVERBEND DR, SUITE 2, CHARLOTTESVILLE, VA 22911-8695
(434) 770-4256
(434) 961-2556
Mailing address
394 GRAYROCK DR, CROZET, VA 22932-2866
(434) 770-4256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004441
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033362603
—
VA
Enumeration date
08/30/2011
Last updated
08/30/2011
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