Individual
MS. ANITA COOPER-MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT#108281
Contact information
Practice address
2151 PROFESSIONAL DR STE 102, ROSEVILLE, CA 95661-3761
(916) 672-2166
Mailing address
2151 PROFESSIONAL DR STE 102, ROSEVILLE, CA 95661-3761
(916) 672-2166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
108281
CA
106H00000X
Marriage & Family Therapist
Primary
108281
CA
Other
Enumeration date
03/18/2016
Last updated
09/01/2021
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