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General NPI Number Information
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NPI Number | 1770150559
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Entity Type | Individual
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Provider Name | CHANNYN QUINN MS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 333 W COMMERCIAL ST
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City | EAST ROCHESTER
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State | NY
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Zip | 14445-2400
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Country | US
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Telephone | 585-545-9362
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Fax |
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Provider Business Mailing Address
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Address Line | 366 OXFORD ST APT 5
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City | ROCHESTER
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State | NY
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Zip | 14607-2737
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Country | US
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Telephone | 585-545-9362
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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 |
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License Number State |
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