Organization
BETTENDORF COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT VACEK (CEO)
(217) 218-3456
Entity
Organization
Contact information
Practice address
2440 TECH DR STE 3, BETTENDORF, IA 52722-7004
(217) 218-3456
Mailing address
8213 10TH ST W, ROCK ISLAND, IL 61201-7744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/03/2023
Last updated
02/23/2023
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