Individual
MR. LONGFELLOW MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP-LDAC
Contact information
Practice address
10206 CASPIAN DR, PAPILLION, NE 68046-3234
(402) 765-8854
(531) 375-5374
Mailing address
10206 CASPIAN DR, PAPILLION, NE 68046-3234
(402) 765-8854
(531) 375-5374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
632
NE
Other
Enumeration date
12/08/2006
Last updated
10/13/2023
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