Individual
MS. JENNIE N MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, LCPC
Contact information
Practice address
1491 S BELL SCHOOL RD, ROCKFORD, IL 61108-1407
(815) 277-9402
(815) 277-9412
Mailing address
406 N STATE ST, BELVIDERE, IL 61008-2740
(815) 977-1425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.006644
IL
101YP2500X
Professional Counselor
Primary
180.006644
IL
Other
Enumeration date
04/23/2008
Last updated
04/04/2011
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