Individual
QUINTON MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
400 7TH ST, LAKE CHARLES, LA 70601-6007
(337) 310-2822
Mailing address
PO BOX 3126, LAKE CHARLES, LA 70602-3126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7055
LA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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