Individual
NICOLE QUINTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 DAVIS ST STE 300, SAN LEANDRO, CA 94577-6923
(510) 746-2800
Mailing address
777 DAVIS ST STE 300, SAN LEANDRO, CA 94577-6923
(510) 746-2800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
12062
CA
101YP2500X
Professional Counselor
Primary
21585
CA
390200000X
Student in an Organized Health Care Education/Training Program
12062
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2021
Last updated
12/18/2025
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