Organization
NORTH LAKES FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILLIAM MARCEAU LCSW (PRESIDENT)
(208) 664-5941
Entity
Organization
Contact information
Practice address
611 E LAKESIDE AVE, COEUR D ALENE, ID 83814-2840
(208) 664-5941
Mailing address
PO BOX 1137, COEUR D ALENE, ID 83816-1137
(208) 664-5941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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