Individual
MR. CHARLES QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
2815 EASTLAKE AVE E STE 100, SEATTLE, WA 98102-3086
(206) 707-7582
(206) 341-9917
Mailing address
2815 EASTLAKE AVE E STE 100, SEATTLE, WA 98102-3086
(206) 707-7582
(206) 341-9917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60739624
WA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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