Individual provider · Type 1 NPI

Louis Anthony Quillin

Addiction (Substance Use Disorder) Counselor · Fremont, CA

NPI number 1508045006 Active

Practice location

4510 Peralta Blvd, Suite 1
Fremont, CA 94536-5755

Call (510) 713-3202 Map

Fax (510) 713-0684

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508045006

Louis Anthony Quillin's National Provider Identifier is 1508045006, issued on Oct 31, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fremont, CA. The record was last updated on Oct 31, 2007.