Organization
PSYCHOLOGICAL SERVICES IN THE QUAD CITIES, PC
Active
Other names
Psi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C BROOKE PH.D. (PRESIDENT)
(309) 757-9000
Entity
Organization
Contact information
Practice address
4324 7TH ST, MOLINE, IL 61265-6867
(309) 757-9000
(309) 757-9057
Mailing address
4324 7TH ST, MOLINE, IL 61265-6867
(309) 757-9000
(309) 757-9057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A36090002A
IL
101YP2500X
Professional Counselor
180004596
IL
103TC0700X
Clinical Psychologist
071005773
IL
103TC0700X
Clinical Psychologist
Primary
072002883
IL
1041C0700X
Clinical Social Worker
149007376
IL
Other
Enumeration date
08/08/2006
Last updated
06/07/2012
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