Individual ProviderCarolyn V QuintanaCounselorBehavioral Health & Social Service ProvidersPractice Address231 N Euclid Ave, Upland, CA 91786-6038(909) 815-9841PECOS EnrollmentBased on the most recent information from CMS, provider Carolyn V Quintana does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1245952605Provider TypeIndividualFull NameQuintana, Carolyn VGenderFemaleSole ProprietorNoEnumeration Date9/13/2022Last Updated9/13/2022Contact InformationPractice LocationPractice Address231 N Euclid Ave, Upland, CA 91786-6038Phone(909) 815-9841Fax(866) 384-5409Mailing LocationMailing Address231 N Euclid Ave, Upland, CA 91786-6038Phone(909) 815-9841FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense133490California