Provider Demographics
NPI:1770150559
Name:QUINN, CHANNYN (MS, LMHC)
Entity type:Individual
Prefix:
First Name:CHANNYN
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 OXFORD ST APT 5
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2737
Mailing Address - Country:US
Mailing Address - Phone:585-545-9362
Mailing Address - Fax:
Practice Address - Street 1:333 W COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2400
Practice Address - Country:US
Practice Address - Phone:585-545-9362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health