Individual
EMELJA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,CMHT
Contact information
Practice address
204 GERALD DR, GREENWOOD, MS 38930-6706
(662) 458-0408
Mailing address
204 GERALD DR, GREENWOOD, MS 38930-6706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MS
Enumeration date
11/16/2021
Last updated
11/16/2021
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