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NPI Code Detail

MEDICARE: MARYLEE CASSELL-QUINTO

MEDICARE: MARYLEE CASSELL-QUINTO
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 : 1346632692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYLEE CASSELL-QUINTO
Provider Business Mailing Address
First Line : 3406 GLACIER HWY
Second Line :
City : JUNEAU
State : AK
Zip : 99801-7251
Country : US
Telephone Number : 907-463-3303
Fax Number : 907-463-6858
Provider Business Practice Location Address
First Line : 3406 GLACIER HWY
Second Line :
City : JUNEAU
State : AK
Zip : 99801-7251
Country : US
Telephone Number : 907-463-3303
Fax Number : 907-463-6858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 02/24/2015

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Directions to “ MARYLEE CASSELL-QUINTO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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