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Individual

HEIDI JO QUINLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC,LIAC, LPCC, LADC

Contact information

Practice address
105 N NEEDLES DR, BRANDON, SD 57005-1505
(480) 229-9167
Mailing address
105 N NEEDLES DR, BRANDON, SD 57005-1505
(480) 229-9167

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4905
MN
101YM0800X
Mental Health Counselor
LIAC-11071
AZ
101YM0800X
Mental Health Counselor
LPC21094
SD
101YP2500X
Professional Counselor
LPC-13084
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
298896
AZ
Enumeration date
07/19/2006
Last updated
10/30/2025
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