Individual
KARISSA KIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1042 W MILL AVE STE 103, COEUR D ALENE, ID 83814-2489
(208) 699-3667
Mailing address
2101 N LAKEWOOD DR STE 225, COEUR D ALENE, ID 83814-2473
(208) 699-3667
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-7786
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAMFT-7786
STATE LICENSURE BOARD
ID
Enumeration date
01/03/2022
Last updated
10/12/2022
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