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NPI Code Detail

MEDICARE: KARLA QUINONES M.A., LPC

MEDICARE:   KARLA  QUINONES  M.A., 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
1101Y00000XCounselor75618TX

General Provider Information

NPI Number : 1639668601
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA QUINONES M.A., LPC
Provider Business Mailing Address
First Line : 10810 SHETLAND BRK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-6059
Country : US
Telephone Number : 262-994-9183
Fax Number :
Provider Business Practice Location Address
First Line : 12274 BANDERA RD STE 232
Second Line :
City : HELOTES
State : TX
Zip : 78023-4387
Country : US
Telephone Number : 210-838-5514
Fax Number : 210-978-5514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2018
Last Update Date : 05/05/2018

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