Individual
MRS. KRISTIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSMFT, LMFT
Contact information
Practice address
1910 NORTHWEST BLVD STE 206, COEUR D ALENE, ID 83814-2676
(208) 219-7043
Mailing address
1910 NORTHWEST BLVD STE 206, COEUR D ALENE, ID 83814-2676
(208) 219-7043
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-6819
ID
Other
Enumeration date
03/27/2014
Last updated
09/27/2019
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