Individual
MS. LETICIA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
50 N. HOPI STREET, SPRINGERVILLE, AZ 85938
(928) 333-2683
(928) 333-5595
Mailing address
50 N. HOPI STREET, SPRINGERVILLE, AZ 85938
(928) 333-2683
(928) 333-5595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10373
AZ
Other
Enumeration date
07/02/2006
Last updated
10/17/2012
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