Individual
MR. ERIC JASON QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
206 FORD ST, OGDENSBURG, NY 13669-1426
(315) 229-3991
Mailing address
206 FORD ST, OGDENSBURG, NY 13669-1426
(315) 229-3991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28936
NY
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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