Marquez, Crystal Georgia

Marquez, Crystal Georgia is an individual health care provider with primary practice located at 1401 E Main St , Santa Maria CA 93454-4801. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Marquez, Crystal Georgia can be contacted via phone (805) 930-1550.

Contact Information

Primary practice address
1401 E Main St Santa Maria CA 93454-4801
Phone: (805) 930-1550
Fax: (805) 957-5902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X SUDRC9392 California
Other Service Providers / Peer Specialist 175T00000X MPPSS-HBGDEZ California

Profile Details

NPI number 1861056723
LBN Legal business name Marquez, Crystal Georgia
Credentials SUDCC #9392
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2019
Last updated Jan 29th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861056723 NPPES
California Other 9392 CADTP

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