Provider Demographics
NPI:1073029914
Name:QUIRION, COLE JOSPEH (MS, LCPC-C)
Entity Type:Individual
Prefix:
First Name:COLE
Middle Name:JOSPEH
Last Name:QUIRION
Suffix:
Gender:M
Credentials:MS, LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-5938
Mailing Address - Country:US
Mailing Address - Phone:207-376-3311
Mailing Address - Fax:207-786-7277
Practice Address - Street 1:24 FALCON DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-4384
Practice Address - Country:US
Practice Address - Phone:207-333-3382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4932101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health