Individual
PHILLIP JOSHUA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV, MA, LLPC
Contact information
Practice address
388 GARDEN AVE, HOLLAND, MI 49424-8998
(616) 222-0631
Mailing address
388 GARDEN AVE, HOLLAND, MI 49424-8998
(616) 222-0631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022920
MI
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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