Provider Demographics
NPI:1316121965
Name:GARCEAU, MARCIA K (LMFT)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:K
Last Name:GARCEAU
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9987 VIA DAROCA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2744
Mailing Address - Country:US
Mailing Address - Phone:858-337-0458
Mailing Address - Fax:
Practice Address - Street 1:9987 VIA DAROCA
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2744
Practice Address - Country:US
Practice Address - Phone:858-337-0458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT45763106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist