Most Relevant Information
Provider Data
| NPI Number: | 1003586942 |
| Provider Name: | QUINCY ALEXANDER GILLIAM APCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2021 |
| Last Updated: | 04/06/2023 |
Provider Practice Location
1625 CARROLL AVE
SAN FRANCISCO
CA
941243219
Practice Location Phone/Fax
| Phone: | 4158228200 |
| Fax: |
Provider Mailing Location
1130 3RD AVE APT 1410
OAKLAND
CA
946062245
Provider Mailing Phone/Fax
| Phone: | 4046419561 |
| Fax: |