Doctor Name: | CHARLES E LAMARCHE |
NPI Number: | 1265526305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ACSW LCSW |
License Number: | 13123 |
Business Practice Address: | 420 E Green Bay St Ste 201 Shawano, WI - 54166 |
Business Phone Number: | 7155265466 |
Business Fax Number: | 7155265545 |
Mailing Address: | 420 E Green Bay St, Ste 201 SHAWANO |
State: | WI |
Postal Code: | 54166 |
Phone Number: | 7155265466 |
Fax Number: | 7155265545 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 13123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |