Provider Demographics
NPI:1922421031
Name:MARX, CHENEE MONTIEL (MS, MFT INTERN)
Entity Type:Individual
Prefix:MRS
First Name:CHENEE
Middle Name:MONTIEL
Last Name:MARX
Suffix:
Gender:F
Credentials:MS, MFT INTERN
Other - Prefix:MISS
Other - First Name:CHENEE
Other - Middle Name:MONTIEL
Other - Last Name:MACIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9414 W LAKE MEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-8312
Mailing Address - Country:US
Mailing Address - Phone:702-534-4342
Mailing Address - Fax:702-445-6434
Practice Address - Street 1:9414 W LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-8312
Practice Address - Country:US
Practice Address - Phone:702-534-4342
Practice Address - Fax:702-445-6434
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist