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Individual

MICHAEL JUSTIN QUINTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
355 PALM BLVD, BROWNSVILLE, TX 78520-5431
(956) 455-7811
Mailing address
355 PALM BLVD, BROWNSVILLE, TX 78520-5431
(956) 410-2802
(866) 892-0888

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204290
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
473397401
TX
Enumeration date
10/29/2021
Last updated
04/24/2025
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