Provider Demographics
NPI:1427509512
Name:QUINTERO, CHRISTINA (COUNSELOR)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:QUINTERO
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:L
Other - Last Name:QUINTERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COUNSELOR
Mailing Address - Street 1:8332 CRETAN BLUE LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7467
Mailing Address - Country:US
Mailing Address - Phone:310-497-8847
Mailing Address - Fax:
Practice Address - Street 1:8332 CRETAN BLUE LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7467
Practice Address - Country:US
Practice Address - Phone:310-497-8847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor