Individual
KIMBERLY M QUINONEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 BERKSHIRE ST, INDIAN ORCHARD, MA 01151-1404
(413) 386-4331
Mailing address
32 BERKSHIRE ST, INDIAN ORCHARD, MA 01151-1404
(413) 386-4331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10012
CT
Other
Enumeration date
07/01/2024
Last updated
12/30/2024
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