Individual provider · Type 1 NPI

Lara Patrice Gagne

Marriage & Family Therapist · Coeur D Alene, ID

NPI number 1124170550 Active

Practice location

1044 Northwest Blvd Ste C
Coeur D Alene, ID 83814-2114

Call (208) 930-1740 Map

Fax (208) 930-1695

Mailing address

PO Box 544
Clayton, CA 94517-0544

Other practice locations

  • 1410 Danzig Plz Ste 250, Concord, CA 94520-7979 · (925) 603-0186

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XREG. INTERN 48617 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1124170550

Lara Patrice Gagne's National Provider Identifier is 1124170550, issued on Jan 17, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jan 9, 2024.