Provider Demographics
NPI:1558450528
Name:BUCHTEL, QUIN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:QUIN
Middle Name:
Last Name:BUCHTEL
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 CENTURY AVE SW
Mailing Address - Street 2:STE 102
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-3746
Mailing Address - Country:US
Mailing Address - Phone:320-848-6522
Mailing Address - Fax:
Practice Address - Street 1:720 CENTURY AVE SW
Practice Address - Street 2:STE 102
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-3746
Practice Address - Country:US
Practice Address - Phone:320-848-6522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00366101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health