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NPI Code Detail

MEDICARE: MRS. QUINTEISHA JENKINS HUNDLEY LPC

MEDICARE:  MRS. QUINTEISHA JENKINS HUNDLEY  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7137LA
2171M00000XCase Manager/Care Coordinator
3101YP2500XProfessional Counselor85667TX

General Provider Information

NPI Number : 1336622729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. QUINTEISHA JENKINS HUNDLEY LPC
Provider Business Mailing Address
First Line : 4040 BROADWAY STE 200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-6300
Country : US
Telephone Number : 877-504-8504
Fax Number : 855-420-6402
Provider Business Practice Location Address
First Line : 4040 BROADWAY STE 200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-6300
Country : US
Telephone Number : 877-504-8504
Fax Number : 855-420-6402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2018
Last Update Date : 05/18/2022

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Directions to “ MRS. QUINTEISHA JENKINS HUNDLEY LPC” Practice Location

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