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General NPI Number Information
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NPI Number | 1639907397
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Entity Type | Individual
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Provider Name | QUINN MCGUIRE AMFT
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Gender | Male
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 2580 E MAIN ST STE 100
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City | VENTURA
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State | CA
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Zip | 93003-2640
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Country | US
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Telephone | 805-402-3967
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Fax |
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Provider Business Mailing Address
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Address Line | 4057 FOOTHILL RD APT E
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City | SANTA BARBARA
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State | CA
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Zip | 93110-4220
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Country | US
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Telephone | 301-602-2751
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | AMFT146712
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License Number State | CA
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