MEDICARE: QUEST COUNSELING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	4692	OK
2	101Y00000X	Counselor	4692	OK

General Provider Information

NPI Number	:	1487909818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUEST COUNSELING INC

Provider Business Mailing Address
First Line	:	5831 E 78TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-8421
Country	:	US
Telephone Number	:	405-513-4998
Fax Number	:

Provider Business Practice Location Address
First Line	:	6931 S 66TH EAST AVE
Second Line	:	211
City	:	TULSA
State	:	OK
Zip	:	74133-1754
Country	:	US
Telephone Number	:	405-513-4998
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. STEVEN MICHAEL HARDEBECK II
Credential	:	M.A.
Telephone Number	:	405-513-4998

Provider Enumeration Date	:	07/23/2012
Last Update Date	:	07/23/2012

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Directions to “QUEST COUNSELING INC ” Practice Location

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