Healthcare Provider Details

I. General information

NPI: 1306641196
Provider Name (Legal Business Name): MARQUEZ COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2025
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 VERMONT ST NE STE D205
ALBUQUERQUE NM
87110-3728
US

IV. Provider business mailing address

2509 VERMONT ST NE STE D205
ALBUQUERQUE NM
87110-3728
US

V. Phone/Fax

Practice location:
  • Phone: 505-221-6191
  • Fax:
Mailing address:
  • Phone: 505-366-7538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. NEVIN MARQUEZ
Title or Position: CEO
Credential: LCSW
Phone: 505-366-7538