NPI 1124170550

Lara Patrice Gagne

Practitioner Marriage & Family Therapist Coeur D Alene, ID

Practice location

Address: 1044 Northwest Blvd STE C, Coeur D Alene, ID 83814-2114
Phone: (208) 930-1740
Fax: (208) 930-1695
Mailing address: PO Box 544, Clayton, CA 94517-0544

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence REG. INTERN 48617 (CA)

Other Marriage & Family Therapist providers in Idaho →

Registry record

NPI: 1124170550
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2007
Record last updated: 9 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.