Marco Marquez Campos
Counselor, Mental Health in Banning, CA. Individual provider (NPI-1).
NPI number1174337653
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1174337653
- Entity type
- Individual (NPI-1)
- Name
- Marco Marquez Campos
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2025
- Certification date
- Feb 4, 2025
- Last updated
- Feb 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
755 W Hoffer StBanning, CA 92220-2348
Phone 951-653-7561
Mailing address
6235 River Crest Dr Ste NRiverside, CA 92507-0758
Phone 951-653-7561
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