Provider Demographics
NPI:1316188709
Name:MARQUEZ, MAREEH CLAIRE (LMFT)
Entity type:Individual
Prefix:
First Name:MAREEH
Middle Name:CLAIRE
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3171
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91944-3171
Mailing Address - Country:US
Mailing Address - Phone:619-324-3228
Mailing Address - Fax:619-923-6333
Practice Address - Street 1:8080 LA MESA BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-0362
Practice Address - Country:US
Practice Address - Phone:619-324-3228
Practice Address - Fax:619-923-6333
Is Sole Proprietor?:No
Enumeration Date:2009-03-13
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53516106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist