Provider Demographics
NPI:1598852923
Name:MARQUEZ, ALFRED (CATC)
Entity Type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:CATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 S FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-4208
Mailing Address - Country:US
Mailing Address - Phone:714-479-0120
Mailing Address - Fax:714-479-0120
Practice Address - Street 1:405 W 5TH ST
Practice Address - Street 2:STE. 212
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4519
Practice Address - Country:US
Practice Address - Phone:714-834-2125
Practice Address - Fax:714-834-2125
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)