Individual
JENNIFER MARIE MARROQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
8876 GULF FWY STE 420, HOUSTON, TX 77017-6544
(713) 527-8558
Mailing address
4625 ABNER DR, CORPUS CHRISTI, TX 78411-2801
(361) 510-1742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10019
TX
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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