Provider Demographics
NPI:1538211792
Name:MCQUISTON, VIRGINIA LOU (LCSW)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:LOU
Last Name:MCQUISTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7661 S. BRENTWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-8243
Mailing Address - Country:US
Mailing Address - Phone:303-948-5791
Mailing Address - Fax:303-948-3780
Practice Address - Street 1:7661 S BRENTWOOD ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-8243
Practice Address - Country:US
Practice Address - Phone:303-948-5791
Practice Address - Fax:303-948-3780
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9923751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical