Provider Demographics
NPI:1639907397
Name:MCGUIRE, QUINN (AMFT)
Entity type:Individual
Prefix:
First Name:QUINN
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4057 FOOTHILL RD APT E
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-4220
Mailing Address - Country:US
Mailing Address - Phone:301-602-2751
Mailing Address - Fax:
Practice Address - Street 1:2580 E MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2640
Practice Address - Country:US
Practice Address - Phone:805-402-3967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT146712101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health