Provider Demographics
NPI:1851820575
Name:MARQUEZ, LENITA A (MA LMHC MHP)
Entity Type:Individual
Prefix:MS
First Name:LENITA
Middle Name:A
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:MA LMHC MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5815 LACEY BLVD SE # 8055
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-2459
Mailing Address - Country:US
Mailing Address - Phone:360-522-6156
Mailing Address - Fax:
Practice Address - Street 1:581 MALIBU DR SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1376
Practice Address - Country:US
Practice Address - Phone:360-522-6156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-06
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60649297101YA0400X
WA61015543101Y00000X
WA60733448101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)