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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
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