Individual
QUENTIN D LEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
301 E WASHINGTON ST, SUITE 101, GREENSBORO, NC 27401-2993
(336) 333-6860
(336) 275-1187
Mailing address
301 E WASHINGTON ST, SUITE 101, GREENSBORO, NC 27401-2993
(336) 333-6860
(336) 275-1187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2752
NC
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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