Individual
LES R QUAGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
301 E WASHINGTON ST, GREENSBORO, NC 27401-2957
(336) 333-6860
(338) 275-1187
Mailing address
301 E WASHINGTON ST, GREENSBORO, NC 27401-2957
(336) 333-6860
(338) 275-1187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111808
—
NC
Enumeration date
03/21/2007
Last updated
04/25/2013
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