Quintin Talley, LCPC
Counselor, Mental Health in Largo, MD. Individual provider (NPI-1).
NPI number1043672991
StatusActive
Last updated in NPPESFeb 18, 2017
Details
- NPI
- 1043672991
- Entity type
- Individual (NPI-1)
- Name
- Mr. Quintin Talley
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2016
- Last updated
- Feb 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LC7176 | MD | Yes |
Practice location
9475 Lottsford Rd Ste 250Largo, MD 20774-5346
Phone 301-636-6504 · Fax 301-636-6509
Mailing address
9475 Lottsford Rd Ste 250Upper Marlboro, MD 20774-5346
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