MICHAEL ALLAN QUAKENBUSH NPI 1205210044

NPI Information

NPI: 1205210044
Provider Name: MICHAEL ALLAN QUAKENBUSH
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2049 SKYLINE DR
LEMON GROVE, CA
ZIP 91945
Phone: (619) 442-0277
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Michael Allan Quakenbush is an addiction (substance use disorder) counselor in Lemon Grove, CA. Michael Allan Quakenbush NPI is 1205210044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2049 SKYLINE DR
LEMON GROVE, CA
ZIP 91945-221
Phone: (619) 442-0277

The enumeration date for this NPI number is 7/10/2015 and was last updated on 7/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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