Individual provider · Type 1 NPI

Adele Queener

Mental Health Counselor · Santa Cruz, CA

NPI number 1770187254 Active

Practice location

941 El Dorado Ave
Santa Cruz, CA 95062-2863

Mailing address

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770187254

Adele Queener's National Provider Identifier is 1770187254, issued on Nov 25, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Cruz, CA. The record was last updated on Nov 25, 2020.