Individual
QUENTIN EALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA, NCC
Contact information
Practice address
650 HIGHLAND AVE, WINSTON SALEM, NC 27101-4304
(336) 607-8523
(336) 773-0916
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14622
NC
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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