Provider Demographics
NPI:1780142711
Name:SMELSER, QUINN K (NCC, LPC, RPT)
Entity type:Individual
Prefix:DR
First Name:QUINN
Middle Name:K
Last Name:SMELSER
Suffix:
Gender:F
Credentials:NCC, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 HIGH PARK LN APT 135
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3192
Mailing Address - Country:US
Mailing Address - Phone:512-739-9426
Mailing Address - Fax:
Practice Address - Street 1:180 HIGH PARK LN APT 135
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3192
Practice Address - Country:US
Practice Address - Phone:512-739-9426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-08
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007878101YM0800X
MDLC11053101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1000014016OtherGIL INSTITUTE FOR TRAUMA RECOVERY AND EDUCATION