ERIC EDWARD DESMARAIS JR. (NPI# 1174045967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174045967 |
| Entity Type | Individual |
| Full Name | ERIC EDWARD DESMARAIS JR. |
| Credential | M.S. |
| Practice Address |
629 6th St Clarkston WA 99403-2010 |
| Practice Telephone | (509) 758-9698 |
| Practice Fax Number | 5097589664 |
| Mailing Telephone | 5097589698 |
| Mailing Fax Number | 5097589664 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC60766351 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609066299 | Eric Desmarais | Counselor | 29 Franklin St, Bangor, ME 04401-4909 | 2007-07-30 |
| Street Address |
629 6TH ST |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477690576 | Jarod John Fitzgerald | Psychologist | 629 6th St, Clarkston, WA 99403-2010 | 2007-01-30 |
| 1447726906 | Shari Reiter | Counselor | 629 6th St, Clarkston, WA 99403-2010 | 2018-10-22 |
| 1689154809 | Rebecca Ann Lindsey | Psychologist | 629 6th St, Clarkston, WA 99403-2010 | 2018-08-16 |
| 1881187607 | Alyssa A Neumann | Counselor | 629 6th St, Clarkston, WA 99403-2010 | 2018-06-07 |
| 1942681606 | Jennifer Pernsteiner | Social Worker | 629 6th St, Clarkston, WA 99403-2010 | 2015-06-17 |
| 1710322755 | Fitzgerald Psychological Services, P.s. | Psychologist | 629 6th St, Clarkston, WA 99403-2010 | 2013-05-03 |
| 1891064606 | Educational and Psychological Services | Case Management | 629 6th St, Clarkston, WA 99403-2010 | 2011-12-22 |
| 1689852378 | Paul D. Baker | Counselor | 629 6th St, Clarkston, WA 99403-2010 | 2008-02-05 |
| 1437349107 | Jil Marie Taylor | Counselor | 629 6th St, Clarkston, WA 99403-2010 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1558978528 | David Sperry | Counselor | 1303 Poplar St, Clarkston, WA 99403-2345 | 2020-09-24 |
| 1457978322 | Patrick Marcoux | Counselor | 39 S Main St Ste 2, Clarkston, MI 48346-1590 | 2020-06-26 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| 1821387432 | Diane Baker | Counselor | 5395 Taylor Ln, Clarkston, MI 48346-1746 | 2011-04-04 |
| 1992932826 | Tiffany Cheryl Taylor | Counselor | 1057 Echo Woods Ct, Clarkston, GA 30021-2703 | 2009-06-18 |
| 1558502807 | Mark C Mckarcher | Counselor | 744 5th St, Suite D, Clarkston, WA 99403-2670 | 2009-03-17 |
| 1740434471 | John David Canine | Counselor | 936 S Baldwin Rd, 102, Clarkston, MI 48348-3695 | 2008-11-07 |
| 1780802835 | Judith A Cox-wentz | Counselor | 6887 Dixie Hwy Ste A, Clarkston, MI 48346-5107 | 2007-04-23 |
| Find all providers in CLARKSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.