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NPI Code Detail

MEDICARE: DR. ROSE M QUINONES-DELVALLE PHD, LPCC, LSW, NCC

MEDICARE: DR. ROSE M QUINONES-DELVALLE PHD, LPCC, LSW, NCC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor18295OH
2101YP2500XProfessional Counselor000-E2217OH
3104100000XSocial WorkerOH

General Provider Information

NPI Number : 1013993153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSE M QUINONES-DELVALLE PHD, LPCC, LSW, NCC
Provider Business Mailing Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-1295
Fax Number : 330-782-2330
Provider Business Practice Location Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-1295
Fax Number : 330-782-2330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 09/11/2025

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