Provider Demographics
NPI:1922370154
Name:QUINTANA, CHRISTOPHER GARCIA (MSW)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:GARCIA
Last Name:QUINTANA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:727 S FAYETTEVILLE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-6497
Mailing Address - Country:US
Mailing Address - Phone:336-625-2073
Mailing Address - Fax:336-625-2737
Practice Address - Street 1:727 S FAYETTEVILLE ST
Practice Address - Street 2:SUITE C
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6497
Practice Address - Country:US
Practice Address - Phone:336-625-2073
Practice Address - Fax:336-625-2737
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0070281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical