Basic Information
| Provider Information | |||||||||
| NPI: | 1144492828 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARGUETA | ||||||||
| FirstName: | MARLENE | ||||||||
| MiddleName: | DOLORES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 190 SIERRA COURT | ||||||||
| Address2: | SUITE B-2 | ||||||||
| City: | PALLMDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6612724883 | ||||||||
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| Practice Location | |||||||||
| Address1: | 190 SIERRA CT | ||||||||
| Address2: | SUITE B-2 | ||||||||
| City: | PALMDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 935507607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6612724883 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2008 | ||||||||
| LastUpdateDate: | 04/02/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.