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NPI Code Detail

MEDICARE: GENESIS PRISCILLA QUEZADA MED

MEDICARE: GENESIS PRISCILLA QUEZADA MED
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 Counselor

General Provider Information

NPI Number : 1285083071
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENESIS PRISCILLA QUEZADA MED
Provider Business Mailing Address
First Line : 1 CLINTON ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-1414
Country : US
Telephone Number : 978-609-6412
Fax Number :
Provider Business Practice Location Address
First Line : 370 MERRIMACK ST BLDG 5
Second Line :
City : LAWRENCE
State : MA
Zip : 01843-1788
Country : US
Telephone Number : 978-620-0920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2016
Last Update Date : 04/16/2026

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Directions to “ GENESIS PRISCILLA QUEZADA MED” Practice Location

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