Healthcare Provider Details

I. General information

NPI: 1437768132
Provider Name (Legal Business Name): QUINCY EILEEN MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: QUINCY EILEEN FRAETIS

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 ARNOLD DR SUITE 125
MARTINEZ CA
94553-3625
US

IV. Provider business mailing address

10 HARMONY CT
PITTSBURG CA
94565
US

V. Phone/Fax

Practice location:
  • Phone: 925-494-4827
  • Fax:
Mailing address:
  • Phone: 925-956-3197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number9657
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number9657
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: