| Doctor Name: | MARIETTA A.M. MARQUEZ |
| NPI Number: | 1427137108 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CIT |
| License Number: | |
| Business Practice Address: | 90 Franklin Sq New Britain, CT - 060512607 |
| Business Phone Number: | 8602253561 |
| Business Fax Number: | 8602252558 |
| Mailing Address: | 853 Slater Rd, NEW BRITAIN |
| State: | CT |
| Postal Code: | 060532240 |
| Phone Number: | 8602298871 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |