Organization
Q COUNSELING SERVICES, LLC
Active
Organization
Q COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID PECK PHD (PRESIDENT)
(602) 570-2373
Entity
Organization
Contact information
Practice address
301 E BETHANY HOME RD, STE C-296, PHOENIX, AZ 85012-1263
(602) 570-2373
Mailing address
2030 N DAYTON ST, PHOENIX, AZ 85006-2123
(602) 570-2373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW12742
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11984370
CAQH
—
05
—
432878
—
AZ
Enumeration date
07/02/2010
Last updated
10/18/2010
Update your record
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