Provider Demographics
NPI:1215819883
Name:MANRIQUEZ, NATALIA NIEVES (MFT INTERN)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:NIEVES
Last Name:MANRIQUEZ
Suffix:
Gender:F
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 MONTAIR AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1054
Mailing Address - Country:US
Mailing Address - Phone:714-658-9155
Mailing Address - Fax:
Practice Address - Street 1:514 W PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-5237
Practice Address - Country:US
Practice Address - Phone:562-432-0713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist