Provider Demographics
NPI:1316096795
Name:LEVEQUE, DARCY MARIE (MS COUNSELING)
Entity type:Individual
Prefix:MS
First Name:DARCY
Middle Name:MARIE
Last Name:LEVEQUE
Suffix:
Gender:F
Credentials:MS COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3865 SILVER OAKS WAY
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550
Mailing Address - Country:US
Mailing Address - Phone:925-895-5914
Mailing Address - Fax:925-449-5057
Practice Address - Street 1:20632 REDWOOD RD
Practice Address - Street 2:SUITE D
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546
Practice Address - Country:US
Practice Address - Phone:925-895-5914
Practice Address - Fax:925-449-5057
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43505106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist