Provider Demographics
NPI:1750500914
Name:MARQUEZ VENEGAS, NORMA ANGELICA
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:ANGELICA
Last Name:MARQUEZ VENEGAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 S SAN JOAQUIN DR
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-3435
Mailing Address - Country:US
Mailing Address - Phone:559-827-1258
Mailing Address - Fax:
Practice Address - Street 1:1205 FREEDOM BLVD STE 3B
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-2777
Practice Address - Country:US
Practice Address - Phone:559-287-8934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
CAIMF47386106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No374J00000XNursing Service Related ProvidersDoula