Provider Demographics
NPI:1144920950
Name:QIU, YUQING
Entity type:Individual
Prefix:
First Name:YUQING
Middle Name:
Last Name:QIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6930 CARROLL AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4498
Mailing Address - Country:US
Mailing Address - Phone:301-563-9156
Mailing Address - Fax:240-491-5913
Practice Address - Street 1:6930 CARROLL AVE STE 610
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4498
Practice Address - Country:US
Practice Address - Phone:301-563-9156
Practice Address - Fax:240-491-5913
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP13360101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional