Provider Demographics
NPI:1962684738
Name:QUINONEZ, ADAM RYAN
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:RYAN
Last Name:QUINONEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26413 JEFFERSON AVE
Mailing Address - Street 2:H
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6979
Mailing Address - Country:US
Mailing Address - Phone:951-677-7900
Mailing Address - Fax:951-677-6877
Practice Address - Street 1:26413 JEFFERSON AVE
Practice Address - Street 2:H
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6979
Practice Address - Country:US
Practice Address - Phone:951-677-7900
Practice Address - Fax:951-677-6877
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor