JILLIAN QUINN VAN WAGENEN

CARY, NC
NPI1578272316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  29047)
Enumeration Date2022-11-21
Last Update Date2022-12-10
Business Address
JILLIAN QUINN VAN WAGENEN BS; CADCR
128 QUADE DR
CARY, NC 27513-7400
Phone number: 919-651-8349
Mailing Address
JILLIAN QUINN VAN WAGENEN BS; CADCR
1701 TARBERT DR
CARY, NC 27511-5052
Phone number: 919-397-1754
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