Doctor Name: | ERICA ESTRADA MARROQUIN |
NPI Number: | 1295149359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 21520 Pioneer Blvd Ste 110 Hawaiian Gardens, CA - 907162604 |
Business Phone Number: | 5628653644 |
Business Fax Number: | 5628655244 |
Mailing Address: | 21520 Pioneer Blvd Ste 110, HAWAIIAN GARDENS |
State: | CA |
Postal Code: | 907162604 |
Phone Number: | 5628653644 |
Fax Number: | 5628655244 |
NPI Enumeration Date: | 06/17/2014 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |