| Quest Counseling And Consultation Center, Llc | |
|
740 Regent St Ste 103 Madison WI 53715-2648 | |
| (847) 708-4192 | |
| Not Available |
| Full Name | Quest Counseling And Consultation Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 740 Regent St Ste 103, Madison, Wisconsin |
| Authorized Official Name and Position | Sandra Derks (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8477084192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quest Counseling And Consultation Center, Llc 740 Regent St Ste 103 Madison WI 53715-2648 Ph: (847) 708-4192 | Quest Counseling And Consultation Center, Llc 740 Regent St Ste 103 Madison WI 53715-2648 Ph: (847) 708-4192 |
| NPI Number | 1912499351 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 06/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912499351 | NPI | - | NPPES |
| 101YP2500X | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5616-125 (Wisconsin) | Primary |
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