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Elicia Marie Manriquez
School Counselor in Richmond, California
NPI 1235702747

Elicia Marie Manriquez is a School Counselor based in Richmond, CA and is specialized in School. Elicia Marie Manriquez practices in Richmond, CA. The NPI Number for Elicia Marie Manriquez is 1235702747 and holds a License No. (California).

The current practice location address for Elicia Marie Manriquez is 3201 Pullman Ave Apt 104, Richmond, CA and can be reached out via phone at 510-383-6699.

Location: 3201 Pullman Ave Apt 104, Richmond, CA, 94804-3174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235702747
Provider Name
Elicia Marie Manriquez
Credential
Provider Entity Type
Individual
Gender
Female
Address
3201 Pullman Ave Apt 104, Richmond, CA, 94804-3174
Phone Number
510-383-6699
Fax Number
Provider Enumeration Date
07/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BLUECROSS 05 CA
institution
Provider Business Practice Location Address Details
Address
3201 Pullman Ave Apt 104
City
Richmond
State
California
Zip
94804-3174
Phone Number
510-383-6699
Fax Number
person
Provider Business Mailing Address Details
Address
3201 Pullman Ave Apt 104
City
Richmond
State
California
Zip
94804-3174
Phone Number
510-383-6699
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
(California)
Definition
Definition to come...
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