Provider Demographics
NPI:1407547953
Name:EDOUARD, LAMARRE JR (LPCC)
Entity type:Individual
Prefix:MR
First Name:LAMARRE
Middle Name:
Last Name:EDOUARD
Suffix:JR
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4733 SORIA DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-3821
Mailing Address - Country:US
Mailing Address - Phone:619-357-6770
Mailing Address - Fax:
Practice Address - Street 1:5938 PRIESTLY DR STE 103
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-8847
Practice Address - Country:US
Practice Address - Phone:858-771-4387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC18493101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional