Individual
MONA KIM-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6615 COMANCHE ST, BONNERS FERRY, ID 83805
(208) 267-1718
(208) 267-7739
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
(208) 267-1718
(208) 267-7739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-327
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806590100
—
ID
Enumeration date
11/01/2006
Last updated
05/03/2013
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