Linda J. Marcoux, EDDCP, MFT
Individual provider Active NPI Marriage & Family Therapist · Crestline, CA
NPI 1013103068 · NPPES record last updated May 16, 2019
Key facts
- NPI
- 1013103068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC 47598 (CA)
- Practice address
- 23451 Crest Forest Dr.
Crestline, CA 92325 - Phone
- (760) 961-7733
- Fax
- (760) 961-7733
- NPI assigned
- Sep 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 47598 | CA | MD | Marriage & Family Therapist |
| MFC47598 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC47598 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 47598 | CA | Yes |
Addresses
Primary practice location
23451 Crest Forest Dr.
Crestline, CA 92325
Mailing address
18031 US Highway 18 Ste E
Apple Valley, CA 92307-2152
Phone (760) 961-7733
Other practice location 1
11951 Hesperia Rd
Hesperia, CA 92345-1855
Phone (760) 956-2434
Other practice location 2
18031 US Highway 18 Ste E
Apple Valley, CA 92307-2152
Phone (760) 961-7733
Other practice location 3
18031 US Highway 18 Ste E
Apple Valley, CA 92307-2152
Phone (760) 961-7733
Other practice location 4
23720 Lake Dr.
Crestline, CA 92325
Phone (760) 961-7733
Other providers in Crestline, CA
- Maria G. Lopez-Sopher
- Cathleen Louise Love
- Christopher Martin Love
- Yvonne Marie Luna
- Abigail Jolee Madrigal
- Jasmine Swanita Marshall
- Jeffrey Lind Marshall
- Lindsey Liceth Martinez
- Charminade McCoy
- Betzaira McKelroy
All providers in Crestline, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.