Provider Demographics
NPI:1407643687
Name:O'QUINN, CHRISTOPHER DRAYTON (MED, EDS)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DRAYTON
Last Name:O'QUINN
Suffix:
Gender:
Credentials:MED, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 POPPS FERRY RD APT D409
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2065
Mailing Address - Country:US
Mailing Address - Phone:601-270-2711
Mailing Address - Fax:
Practice Address - Street 1:250 BEAUVOIR RD STE 4B
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-4026
Practice Address - Country:US
Practice Address - Phone:228-400-6017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP-1299101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional