Provider Demographics
NPI:1497193627
Name:MARQUEZ, MARIA DEL (LMFTA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:D
Other - Last Name:MARQUEZ-RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:717 THRUSH DR.
Mailing Address - Street 2:
Mailing Address - City:VASS
Mailing Address - State:NC
Mailing Address - Zip Code:28394
Mailing Address - Country:US
Mailing Address - Phone:910-644-4584
Mailing Address - Fax:
Practice Address - Street 1:351 WAGONER DR.
Practice Address - Street 2:#350
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303
Practice Address - Country:US
Practice Address - Phone:910-644-4584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1579106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist