Qccounselor | |
2028 E 38th St Suite 3 Davenport IA 52807-1168 | |
(563) 639-4359 | |
Not Available |
Full Name | Qccounselor |
---|---|
Speciality | Community/behavioral Health |
Location | 2028 E 38th St, Davenport, Iowa |
Authorized Official Name and Position | Rick Michael Martenson (THERAPIST/OWNER) |
Authorized Official Contact | 5636394359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Qccounselor 2028 E 38th St Suite 3 Davenport IA 52807-1168 Ph: (563) 639-4359 | Qccounselor 2028 E 38th St Suite 3 Davenport IA 52807-1168 Ph: (563) 639-4359 |
NPI Number | 1689952467 |
---|---|
Provider Enumeration Date | 07/28/2011 |
Last Update Date | 07/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689952467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 00728 (Iowa) | Primary |
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