Organization
VILLAGE CREEK COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LEIGH MARQUEZ LCSW (SOLE PROPRIETOR)
(208) 522-7512
Entity
Organization
Contact information
Practice address
3597 E MONARCH SKY LN # F240, MERIDIAN, ID 83646-1053
(208) 522-7512
(208) 401-3701
Mailing address
3597 E MONARCH SKY LN # F240, MERIDIAN, ID 83646-1053
(208) 522-7512
(208) 401-3701
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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