Provider Demographics
NPI:1801543558
Name:QUESADA, LAQUISHA CHERIE (MA, LMFT-ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:LAQUISHA
Middle Name:CHERIE
Last Name:QUESADA
Suffix:
Gender:F
Credentials:MA, LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1813 BAY LANDING DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78374-2632
Mailing Address - Country:US
Mailing Address - Phone:361-543-0575
Mailing Address - Fax:
Practice Address - Street 1:3833 S STAPLES ST STE S203
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5228
Practice Address - Country:US
Practice Address - Phone:361-543-0575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203980106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist