Individual
DR. MITTIE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3925 OLD LEE HWY, SUITE 52A, FAIRFAX, VA 22030-2426
(703) 385-7575
(703) 385-7578
Mailing address
3925 OLD LEE HWY, SUITE 52A, FAIRFAX, VA 22030-2426
(703) 385-7575
(703) 385-7578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701003340
VA
103TS0200X
School Psychologist
Primary
0803000080
VA
Other
Enumeration date
10/06/2006
Last updated
01/27/2011
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