Doctor Name: | CECILE MARQUEZ |
NPI Number: | 1366847774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LPC.0012529 |
Business Practice Address: | 324 E Railroad Ave Ste 400 Fort Morgan, CO - 807013101 |
Business Phone Number: | 9704585124 |
Business Fax Number: | |
Mailing Address: | 324 E Railroad Ave Ste 400, FORT MORGAN |
State: | CO |
Postal Code: | 807013101 |
Phone Number: | 9704585124 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2014 |
NPI Last Update Date: | 01/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC.0012529 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |