Provider Demographics
NPI:1063148385
Name:QUINN, JACQUELINE B
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:B
Last Name:QUINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 PADDINGTON PL
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-8844
Mailing Address - Country:US
Mailing Address - Phone:386-215-6928
Mailing Address - Fax:
Practice Address - Street 1:A NEW PERSPECTIVE COUNSELING CENTER
Practice Address - Street 2:1209 E 2ND STREET
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771
Practice Address - Country:US
Practice Address - Phone:407-792-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health