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General NPI Number Information
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NPI Number | 1174213847
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Entity Type | Organization
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Legal Business Name | QUALITY CARE COUNSELING, LLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 9375 E SHEA BLVD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6986
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Country | US
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Telephone | 406-539-7464
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18802
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85269-8802
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Country | US
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Telephone | 406-539-7464
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMILY ANN KRUSHEFSKI
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Credential | LPC
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Telephone | 406-539-7464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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