Alex Balmore Quintanilla, LCSW84870
Alex Balmore Quintanilla, LCSW84870 is a Clinical Social Worker in Champaign, Illinois. Works from 2 locations. Licensed in California and Illinois.
- Licensed in
- CA, IL
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
44 E Main St Ste 406Champaign, IL 61820-3649
Phone: (217) 615-0350
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 610 E John St, Champaign, IL 61820-5717 — (217) 333-3704
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149.023430 (IL) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 84870 (CA) |
Record details
| NPI number | 1568635613 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW84870 |
| Sole proprietor | No |
| NPI enumerated | April 9, 2008 |
| Last updated in NPPES | July 14, 2023 |
| Certification date | July 14, 2023 |
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