Provider Demographics
NPI:1114285053
Name:LINQUITI, CHERYL MARIE (MFT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:MARIE
Last Name:LINQUITI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 CARLSBAD VILLAGE DR
Mailing Address - Street 2:SUITE O
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1957
Mailing Address - Country:US
Mailing Address - Phone:612-269-4865
Mailing Address - Fax:
Practice Address - Street 1:1207 CARLSBAD VILLAGE DR
Practice Address - Street 2:SUITE O
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1957
Practice Address - Country:US
Practice Address - Phone:612-269-4865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-29
Last Update Date:2012-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50876106H00000X
MN1519106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist