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Individual
SERENA MARIE MAREZ
Active
Individual
SERENA MARIE MAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LADC, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0001021
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
305743
MN
101YP2500X
Professional Counselor
0014953
CO
101YP2500X
Professional Counselor
Primary
CC02675
MN
101YP2500X
Professional Counselor
LPP.0001433
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790238152
—
CO
Enumeration date
08/02/2016
Last updated
12/20/2022
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