Provider Demographics
NPI:1689219818
Name:CHAREE MARQUEZ LMFT, PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:CHAREE MARQUEZ LMFT, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAREE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-437-6127
Mailing Address - Street 1:17330 NEWHOPE ST STE A
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4225
Mailing Address - Country:US
Mailing Address - Phone:646-510-3358
Mailing Address - Fax:
Practice Address - Street 1:17330 NEWHOPE ST STE A
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4225
Practice Address - Country:US
Practice Address - Phone:646-510-3358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health