Individual
SYLVIA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW/LADAC
Contact information
Practice address
2001 N COCHITI AVE, FARMINGTON, NM 87401
(505) 592-3055
Mailing address
PO BOX 1554, FARMINGTON, NM 87499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0182481
NM
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
11/11/2024
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