Individual
MR. FREDERICK DOUGLAS QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, NCC, DAPA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-005700
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-008928
REGISTERED PROFESSIONAL SERVICE CORP.
IL
01
—
180-005700
DEPT OF FIN AND PRO. REGULATION
IL
Enumeration date
09/12/2008
Last updated
05/27/2011
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