Lance Edwin Qualmann in Waterloo - Counselor
Lance Edwin Qualmann - NPI 1972760445
Lance Edwin Qualmann is a Counselor in Waterloo, Illinois. Lance Edwin Qualmann practices all healthcare services and medical treatments related to Counselor. The NPI Number for Lance Edwin Qualmann is 1972760445. The last update date is 2008-05-21.
Lance Edwin Qualmann's current location address is 988 N Illinois Route 3, Waterloo, Illinois. You can contact this provider via phone number 6189394444 and fax number 6189394181. The mailing address for Lance Edwin Qualmann is 988 N Illinois Route 3, Waterloo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance Edwin Qualmann |
|---|---|
| Address | 988 N Illinois Route 3, Waterloo, Illinois |
| Phone Number | 6189394444 |
| Fax Number | 6189394181 |
| Sole Proprietor | N |
| Credentials | MA, QHMP |
NPI Number Detail
| NPI Number | 1972760445 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 988 N Illinois Route 3 |
|---|---|
| City | Waterloo |
| State | Illinois (IL) |
| Post Code | 622981000 |
| Phone Number | 6189394444 |
| Fax Number | 6189394181 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the Lance Edwin Qualmann's unique identification number?
The Lance Edwin Qualmann has been assigned the NPI (National Provider Identifier) Number 1972760445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lance Edwin Qualmann?
The Lance Edwin Qualmann is situated at 988 N Illinois Route 3, in the city of Waterloo, state of IL, with the zip code 622981000.
What is Lance Edwin Qualmann's area of expertise and its corresponding taxonomy classification?
The Lance Edwin Qualmann's field of specialization is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Lance Edwin Qualmann receive its 1972760445 assignment from the Centers for Medicare & Medicaid Services?
The Lance Edwin Qualmann was assigned its 1972760445 on 2008-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lance Edwin Qualmann's details last updated?
The information pertaining to the Lance Edwin Qualmann, including its address, specialty, and other details, was most recently updated on 2008-05-21.
NPI Number: 1376546309
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