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MRS. MIRYAM DUQUE
NPI 1164073672
Counselor - Mental Health in Los Angeles, CA

Active since September 25, 2019
11601 S WESTERN AVE, LOS ANGELES, CA 90047(323) 242-5000 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2020, Sep 25, 2019 (2 updates tracked since 2019).

About Mrs. Miryam Duque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MIRYAM DUQUE (NPI 1164073672) is an individual mental health provider in Los Angeles, California, licensed in California (95434) and active in the NPI registry since September 2019. She maintains a secondary practice location in Cerritos.

NPPES Registry Identity

NPI1164073672
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MIRYAM DUQUE
Location Address11601 S WESTERN AVELos Angeles, CA 90047-5006
Mailing Address11601 S Western AveLos Angeles, CA 90047-5006 · (323) 242-5000
Phone(323) 242-5000
Sole ProprietorNo
Enumeration DateSeptember 25, 2019
Last NPPES UpdateAugust 2, 20232 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1164073672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 95434
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
11601 S WESTERN AVE, Los Angeles, CA 90047
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Secondary Practice Location 1

Location 117707 Studebaker Rd # 208Cerritos, CA 90703-2640 · Phone (714) 654-8660

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN BRAMASCO
Student in an Organized Health Care Education/Training Program
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
MARGARET JOHNSON BROWN
Rehabilitation Practitioner
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
MANDEE ASHLEIGH DURAN MA
Marriage & Family Therapist
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 240-5000
EDITH CAMPOS
Counselor (Mental Health)
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
DOMINIQUE LANISE DORSEY
Social Worker (Clinical)
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
IDELLE CARMONA
Day Training/Habilitation Specialist
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
JASON SODENKAMP
Counselor (Addiction (Substance Use Disorder))
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
MICHAEL WAYNE BRAY
Student in an Organized Health Care Education/Training Program
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miryam Duque's NPI number?

The NPI number for Miryam Duque is 1164073672. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Miryam Duque located?

Miryam Duque practices at 11601 S Western Ave, Los Angeles, CA 90047. The listed phone number is (323) 242-5000.

What is Miryam Duque's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Miryam Duque was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.