Organization Name: | QUAD-CITIES COUNSELING |
NPI Number: | 1114202660 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE MARIE ADEN (LISW) |
Mailing Address: | 2550 Middle Rd Ste 300 Bettendorf |
State: | IA US |
Postal Code: | 527223287 |
Phone Number: | 5634840770 |
Fax Number: | 8886623032 |
NPI Enumeration Date: | 10/17/2011 |
NPI Last Update Date: | 12/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 05987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |