Healthcare Provider Details

I. General information

NPI: 1306751458
Provider Name (Legal Business Name): COURTNI MARQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 E LASSEN AVE
CHICO CA
95973-7823
US

IV. Provider business mailing address

1080 PEARSON RD
PARADISE CA
95969-5358
US

V. Phone/Fax

Practice location:
  • Phone: 530-267-1765
  • Fax: 530-267-1765
Mailing address:
  • Phone:
  • Fax: 530-267-1765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: