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NPI Code Detail

MEDICARE: MARITH QUINLAN LPC

MEDICARE:   MARITH  QUINLAN  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
1101YM0800XMental Health CounselorLPC.0017482CO
2101YP2500XProfessional CounselorLPC.0017482CO

General Provider Information

NPI Number : 1841640729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARITH QUINLAN LPC
Provider Business Mailing Address
First Line : 1808 N JUNALUSKA DR
Second Line :
City : RICHMOND
State : VA
Zip : 23225-2320
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1808 N JUNALUSKA DR
Second Line :
City : RICHMOND
State : VA
Zip : 23225-2320
Country : US
Telephone Number : 509-859-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2016
Last Update Date : 08/21/2023

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Directions to “ MARITH QUINLAN LPC” Practice Location

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