Organization
FAMILY & CHILDREN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MARQUESS LPC (PROGRAM DIRECTOR)
(269) 344-0202
Entity
Organization
Contact information
Practice address
1608 LAKE ST, KALAMAZOO, MI 49001-3170
(269) 344-0202
(269) 344-0285
Mailing address
1608 LAKE ST, KALAMAZOO, MI 49001-3170
(269) 344-0202
(269) 344-0285
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6130497
—
MI
Enumeration date
04/25/2006
Last updated
12/02/2021
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