Organization
QC COUNSELOR PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JOHN MARTENSON (OWNER)
(563) 424-2016
Entity
Organization
Contact information
Practice address
2028 E 38TH ST STE 3, DAVENPORT, IA 52807-1168
(563) 424-2016
(563) 424-2017
Mailing address
2028 E 38TH ST, SUITE 3, DAVENPORT, IA 52807-1168
(563) 424-2016
(563) 424-2017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00728
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11087500000
—
IA
05
—
1285919977
—
IA
Enumeration date
10/13/2011
Last updated
12/28/2023
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