Healthcare Provider Details

I. General information

NPI: 1588595003
Provider Name (Legal Business Name): MS. NONA ELIZABETH MARQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 E ALAMEDA AVE STE 100
BURBANK CA
91502-2674
US

IV. Provider business mailing address

1916 WAGNER ST
PASADENA CA
91107-2343
US

V. Phone/Fax

Practice location:
  • Phone: 833-770-0707
  • Fax:
Mailing address:
  • Phone: 626-466-5203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number519728
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: