| Wendy Quinton Lcsw | |
|
273 E 7th St Bloomsburg PA 17815-2853 | |
| (570) 524-0909 | |
| Not Available |
| Full Name | Wendy Quinton Lcsw |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 273 E 7th St, Bloomsburg, Pennsylvania |
| Authorized Official Name and Position | Wendy Quinton (OWNER) |
| Authorized Official Contact | 5705240909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Quinton Lcsw 33 Fruit Farm Rd Elysburg PA 17824-8902 Ph: (570) 809-3393 | Wendy Quinton Lcsw 273 E 7th St Bloomsburg PA 17815-2853 Ph: (570) 524-0909 |
| NPI Number | 1679270797 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679270797 | NPI | - | NPPES |
| 1032760330002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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