Augustine Statham Quinn LPC, NCC

NPI 1780854539 - Counselor - 101YP2500X

NPI Details
NPI 1780854539
Gender Male
Enumeration Date 03/07/2008
Last Updated 03/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3100 PERIMETER PKWY
AUGUSTA GA, 30909-4583, US
Phone (706) 651-0005
Fax (706) 396-2959
Business Location
3100 PERIMETER PKWY
AUGUSTA GA, 30909-4583, US
Phone (706) 651-0005
Fax (706) 396-2959
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC004676
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According to our database, Mr. Augustine Statham Quinn LPC, NCC NPI is 1780854539, taxonomy code is 101YP2500X and license number is LPC004676, license state is located at Georgia. Augustine Statham Quinn LPC, NCC physically located at 3100 Perimeter Pkwy, Augusta GA, 30909-4583. NPI Number Augustine Statham Quinn LPC, NCC has the Individual type.

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1780854539 NPI number is provided on an as is basis without warranty of any kind. 1780854539 is maintained by the National Plan & Provider Enumeration System. The contents of Augustine Statham Quinn LPC, NCC are for informational purposes only.