Doctor Name: | DR. ALICIA RODRIGUEZ MARROQUIN |
NPI Number: | 1124223656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., MA, CNS, PHD |
License Number: | |
Business Practice Address: | 1216 Winsor Ave North Bend, OR - 974593643 |
Business Phone Number: | 3604737777 |
Business Fax Number: | |
Mailing Address: | 1216 Winsor Ave, NORTH BEND |
State: | OR |
Postal Code: | 974593643 |
Phone Number: | 3604737777 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2007 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |