Individual
QUINTON SQUIRE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 S HOLLY ST, NAMPA, ID 83686-5104
(435) 730-8605
Mailing address
11559 SHELBURNE CT, CALDWELL, ID 83605-7998
(435) 730-8605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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