Provider Demographics
NPI:1316158470
Name:DEMAREST, MARGUERITE (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:
Last Name:DEMAREST
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:DEMAREST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:2519 SHORT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-4042
Mailing Address - Country:US
Mailing Address - Phone:504-861-7734
Mailing Address - Fax:
Practice Address - Street 1:701 METAIRIE RD
Practice Address - Street 2:SUITE 2A-203
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4050
Practice Address - Country:US
Practice Address - Phone:504-861-7734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1534101YP2500X
LA441106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist