Provider Demographics
NPI:1326403247
Name:ZENQUIS, MARIA (BA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ZENQUIS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E HORIZON DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-8035
Mailing Address - Country:US
Mailing Address - Phone:702-577-5977
Mailing Address - Fax:702-476-4767
Practice Address - Street 1:220 E HORIZON DR
Practice Address - Street 2:SUITE D
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8035
Practice Address - Country:US
Practice Address - Phone:702-577-5977
Practice Address - Fax:702-476-4767
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor