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NPI Code Detail

MEDICARE: FELICIANA INOCENTA QUINN

MEDICARE: FELICIANA INOCENTA QUINN
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) CounselorCADC-25968NC

General Provider Information

NPI Number : 1447997903
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIANA INOCENTA QUINN
Provider Business Mailing Address
First Line : 291 HUFF DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7370
Country : US
Telephone Number : 910-347-2205
Fax Number : 910-347-2216
Provider Business Practice Location Address
First Line : 291 HUFF DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7370
Country : US
Telephone Number : 910-347-2205
Fax Number : 910-347-2216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2022
Last Update Date : 05/17/2022

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1871145953 — SHAKIRA N BELL MS, LCAS, CCS-I
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1497492391 — ARIEL EVANS CADC-R
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Directions to “ FELICIANA INOCENTA QUINN ” Practice Location

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