Individual
ANGELA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 748-4339
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 748-4339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60585181
WA
Other
Enumeration date
04/10/2017
Last updated
10/28/2022
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