MEDICARE: MR. ADRAIN BERNARDO MARQUEZ LMFT, M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC 46686	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MFC 46686	OTHER	CA	BOARD OF BEHAVIORAL SCIENCES

General Provider Information

NPI Number	:	1780716324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADRAIN BERNARDO MARQUEZ LMFT, M.S.

Provider Business Mailing Address
First Line	:	2934 N FRESNO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-1123
Country	:	US
Telephone Number	:	559-549-6697
Fax Number	:	559-354-0160

Provider Business Practice Location Address
First Line	:	2934 N FRESNO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93703-1123
Country	:	US
Telephone Number	:	559-549-6697
Fax Number	:	559-354-0160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	08/28/2019

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