Individual
MARIE DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1045 S ANCONA AVE STE 140, EAGLE, ID 83616-6374
(208) 352-3660
Mailing address
172 N SEVENOAKS AVE, EAGLE, ID 83616-7308
(208) 519-8355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/09/2019
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