Individual provider · Type 1 NPI
Quintin Blaylock
Addiction (Substance Use Disorder) Counselor · Clarksville, TN
NPI number
1194349498
Active
Practice location
495 Dunlop Ln
Clarksville, TN 37040-5295
Mailing address
2743 Orange St
Riverside, CA 92501-2538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1326201018 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1194349498
Quintin Blaylock's National Provider Identifier is 1194349498, issued on Jun 2, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clarksville, TN. The record was last updated on Jun 23, 2025.