Miss Lara Patrice Gagne, | |
1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814-2114 | |
(208) 930-1740 | |
(208) 930-1695 |
Full Name | Miss Lara Patrice Gagne |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1044 Northwest Blvd Ste C, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124170550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | REG. INTERN 48617 (California) | Primary |
Entity Name | Ambitions Of Idaho Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003145533 PECOS PAC ID: 6305121328 Enrollment ID: O20170314000619 |
Mailing Address | Practice Location Address |
---|---|
Miss Lara Patrice Gagne, Po Box 544, Clayton, CA 94517-0544 Ph: (925) 603-0186 | Miss Lara Patrice Gagne, 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814-2114 Ph: (208) 930-1740 |
Jena Farid, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 N Lakewood Dr Ste 222, Coeur D Alene, ID 83814 Phone: 208-274-3320 | |
Ms. Stacy Annette Brittain, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814 Phone: 650-793-4966 | |
Thomas R Vanfossen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5431 N Government Way, Suite B, Coeur D Alene, ID 83815 Phone: 208-667-7603 Fax: 208-667-7609 | |
Devona Marie Mahal, LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 101 W Ironwood Dr Ste 216, Coeur D Alene, ID 83814 Phone: 208-691-1365 | |
Mr. Scott Harper Oden, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 212 S 11th St, Coeur D Alene, ID 83814 Phone: 208-640-0053 | |
Mr. Stephen Dwight Yates, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1270 N Northwood Center Ct, Coeur D Alene, ID 83814 Phone: 208-769-4222 Fax: 208-807-3782 |