Provider Demographics
NPI:1275923153
Name:LEMARIE, MICHELLE (CHPN,CHTP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:LEMARIE
Suffix:
Gender:F
Credentials:CHPN,CHTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3855 HEALTH SCIENCE DRIVE # 0658
Mailing Address - Street 2:UCSD MOORES CANCER CENTER
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0658
Mailing Address - Country:US
Mailing Address - Phone:858-822-2538
Mailing Address - Fax:858-822-3449
Practice Address - Street 1:UCSD MOORES CANCER CTR
Practice Address - Street 2:3855 HEALTH SCIENCE DRIVE # 0658
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0658
Practice Address - Country:US
Practice Address - Phone:858-822-2538
Practice Address - Fax:858-822-3449
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor