Provider Demographics
NPI:1053634303
Name:PALMQUIST MARSHALL, CHRISTINE (LMFT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:PALMQUIST MARSHALL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:K
Other - Last Name:PALMQUIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:11835 CARMEL MOUNTAIN RD # 1304-214
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4609
Mailing Address - Country:US
Mailing Address - Phone:858-822-9093
Mailing Address - Fax:
Practice Address - Street 1:11770 BERNARDO PLAZA CT STE 208
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2424
Practice Address - Country:US
Practice Address - Phone:858-822-9093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87418106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist