Individual
ELVIA FABIOLA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
112 E MISSION AVE, BELLEVUE, NE 68005-5201
(402) 257-1122
Mailing address
112 E MISSION AVE, BELLEVUE, NE 68005-5201
(402) 257-1122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P1720
NE
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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