Provider Demographics
NPI:1023695780
Name:MARQUEZ, MARIA ISABEL (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ISABEL
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:MARQUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MARIA MARQUEZ, LPC
Mailing Address - Street 1:16692 W BELLEVIEW ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-6241
Mailing Address - Country:US
Mailing Address - Phone:602-910-9983
Mailing Address - Fax:
Practice Address - Street 1:16692 W BELLEVIEW ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-6241
Practice Address - Country:US
Practice Address - Phone:602-910-9983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-19770101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty