Provider Demographics
NPI:1902570633
Name:QUENTIN, ERINN (LPC)
Entity Type:Individual
Prefix:
First Name:ERINN
Middle Name:
Last Name:QUENTIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13300 KILMARNOCK WAY APT N
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-4427
Mailing Address - Country:US
Mailing Address - Phone:815-403-0584
Mailing Address - Fax:
Practice Address - Street 1:13300 KILMARNOCK WAY APT N
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-4427
Practice Address - Country:US
Practice Address - Phone:815-403-0584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.015582390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program