Provider Demographics
NPI:1639334592
Name:VAQUER-RHODES, MARGA (MA, MFT)
Entity Type:Individual
Prefix:
First Name:MARGA
Middle Name:
Last Name:VAQUER-RHODES
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:
Other - Last Name:VAQUER-FERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:555 SOQUEL AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2340
Mailing Address - Country:US
Mailing Address - Phone:831-227-3431
Mailing Address - Fax:831-480-8444
Practice Address - Street 1:555 SOQUEL AVE STE 260
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062
Practice Address - Country:US
Practice Address - Phone:831-227-3431
Practice Address - Fax:831-480-8444
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45695106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist