Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 28357 | TX |
Y | 101YP2500X | Professional Counselor | 70206 | TX |
N | 101YS0200X | School Counselor | 06/30/2017 | TX |
NPI | 1073998712 |
---|---|
Provider Name | Dr. Yvonne Quintanilla |
First Address | Edinburg, TX 78539-6672 |
Second Address | Edinburg, TX 78539-6672 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2015 |
Last Update Date | 17/08/2021 |