Organization
WHITE PINE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KINMOUTH MSW, LCSW (OWNER)
(208) 667-8860
Entity
Organization
Contact information
Practice address
1104 W IRONWOOD DR STE A, COEUR D ALENE, ID 83814-2605
(208) 667-8860
(208) 667-2119
Mailing address
1104 W IRONWOOD DR STE A, COEUR D ALENE, ID 83814-2605
(208) 667-8860
(208) 667-2119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0-134
ID
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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