Individual
KIMBERLY S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2101 N LAKEWOOD DR STE 220, COEUR D ALENE, ID 83814-2473
(208) 699-9065
(208) 620-3994
Mailing address
PO BOX 3415, HAYDEN, ID 83835-3415
(208) 699-9065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCSW-36216
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-36216
ID
Other
Enumeration date
10/01/2012
Last updated
11/30/2020
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