Provider Demographics
NPI:1316296759
Name:MARQUEZ, CONSUELO DEL CARMEN (AMFT)
Entity type:Individual
Prefix:MISS
First Name:CONSUELO
Middle Name:DEL CARMEN
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 E CALIFORNIA
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-3642
Mailing Address - Country:US
Mailing Address - Phone:559-600-1033
Mailing Address - Fax:559-600-1101
Practice Address - Street 1:142 E CESAR CHAVEZ BLVD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-3642
Practice Address - Country:US
Practice Address - Phone:559-600-1033
Practice Address - Fax:559-600-1101
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker