Provider Demographics
NPI:1164177267
Name:FRANKS, QUINN MARIE
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:MARIE
Last Name:FRANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2559 OLD QUARRY RD APT 1932
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-2780
Mailing Address - Country:US
Mailing Address - Phone:858-722-1692
Mailing Address - Fax:
Practice Address - Street 1:550 FESLER ST STE G-1
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1959
Practice Address - Country:US
Practice Address - Phone:619-588-5361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)