| Charee Marquez Lmft, Professional Corporation | |
|
17330 Newhope St Ste A Fountain Valley CA 92708-4225 | |
| (646) 510-3358 | |
| Not Available |
| Full Name | Charee Marquez Lmft, Professional Corporation |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 17330 Newhope St Ste A, Fountain Valley, California |
| Authorized Official Name and Position | Charee Nicole Marquez (PRESIDENT) |
| Authorized Official Contact | 6264376127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charee Marquez Lmft, Professional Corporation 17330 Newhope St Ste A Fountain Valley CA 92708-4225 Ph: (646) 510-3358 | Charee Marquez Lmft, Professional Corporation 17330 Newhope St Ste A Fountain Valley CA 92708-4225 Ph: (646) 510-3358 |
| NPI Number | 1689219818 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 11/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689219818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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