Provider Demographics
NPI:1225802218
Name:MARQUEZ, ERIKA ESQUIVEL (LMFT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ESQUIVEL
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MARTINEZ
Other - Last Name:ESQUIVEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 W GRAHAM AVE
Mailing Address - Street 2:PO BOX 1003
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-3610
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2071 PINE CREST DR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3710
Practice Address - Country:US
Practice Address - Phone:949-371-5921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA139019106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist