Provider Demographics
NPI:1033835335
Name:MARQUEZ GOMEZ, ARACELI (LPC)
Entity Type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:MARQUEZ GOMEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ARACELI
Other - Middle Name:
Other - Last Name:MARQUEZ GOMEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:18218 MANTLE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4646
Mailing Address - Country:US
Mailing Address - Phone:915-487-4981
Mailing Address - Fax:
Practice Address - Street 1:18218 MANTLE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4646
Practice Address - Country:US
Practice Address - Phone:915-487-4981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80037101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health