Individual
NATHAN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA, RMHCI
Contact information
Practice address
197 DIXWELL AVE, NEW HAVEN, CT 06511-3415
(352) 448-9120
Mailing address
197 DIXWELL AVE, NEW HAVEN, CT 06511-3415
(203) 503-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH23089
FL
101YP2500X
Professional Counselor
Primary
7025
CT
Other
Enumeration date
05/17/2023
Last updated
03/13/2024
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