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Organization

PINNACLE COUNSELING CENTER NORTHWEST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY S LEE LCSW (OWNER)
(208) 699-9065
Entity
Organization

Contact information

Practice address
2101 N LAKEWOOD DR STE 220, COEUR D ALENE, ID 83814-2473
(208) 699-9065
Mailing address
PO BOX 3415, HAYDEN, ID 83835-3415
(208) 699-9065

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36216
ID
251S00000X
Community/Behavioral Health Agency
LCSW-36216
ID

Other

Enumeration date
01/07/2017
Last updated
11/30/2020
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