Individual
RAFAEL ALBERTO MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(800) 325-3982
(800) 774-9083
Mailing address
26 CARLISLE WAY, WASHINGTONVILLE, NY 10992-2101
(845) 764-1429
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00700
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00700
LMFT
NY
Enumeration date
07/23/2008
Last updated
09/22/2008
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