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JENNIFER QUINTANILLA ALEJANDRO LPC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1225160534

Individual Registrant:
 JENNIFER QUINTANILLA ALEJANDRO LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
618 PONDER PLACE DR STE 2  EVANS, GA 30809-3117 US
Tel: 706-825-8491  Fax: 706-550-0340

Contact information for business:
618 PONDER PLACE DR STE 2  EVANS, GA 30809-3117 US
Tel: 706-825-8491  Fax: 706-550-0340

Registration Information:
NPI: 1225160534
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
GALPC006914

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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