Provider Demographics
NPI:1275605263
Name:MARQUEZ, MARIA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:MARQUEZ
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 1:7575 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1933
Mailing Address - Country:US
Mailing Address - Phone:805-968-5446
Mailing Address - Fax:805-884-1529
Practice Address - Street 1:800 GARDEN ST STE I
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7221
Practice Address - Country:US
Practice Address - Phone:805-453-5011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT35514106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist