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Individual

MR. ANDREW BRIAN QUINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC CAP

Contact information

Practice address
215 E BAY ST, #1, LAKELAND, FL 33801
(863) 683-9600
(863) 688-3770
Mailing address
215 E BAY ST, #1, LAKELAND, FL 33801
(863) 683-9600
(863) 688-3770

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 1882
FL
101YM0800X
Mental Health Counselor
Primary
MH 5735
FL

Other

Enumeration date
08/28/2007
Last updated
08/28/2007
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