Individual ProviderKarisa Nicole QuickCounselorBehavioral Health & Social Service ProvidersPractice Address231 N Euclid Ave, Upland, CA 91786-6038(909) 815-9841(760) 508-1320PECOS EnrollmentBased on the most recent information from CMS, provider Karisa Nicole Quick 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 ID1336614940Provider TypeIndividualFull NameQuick, Karisa NicoleGenderFemaleSole ProprietorNoEnumeration Date10/10/2018Last Updated10/10/2018Contact InformationPractice LocationPractice Address231 N Euclid Ave, Upland, CA 91786-6038Phone(909) 815-9841FaxUnlisted FaxMailing LocationMailing Address5083 Columbia Dr, Fontana, CA 92336-0617Phone(760) 508-1320FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseAPCC5379California