Individual
SUSAN ELAINE COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
296 W. SUNSET AVE, STE 15, COEUR D ALENE, ID 83815-8366
(208) 666-0357
(208) 666-0468
Mailing address
296 W. SUNSET AVE, STE 15, COEUR D ALENE, ID 83815-8366
(208) 889-1897
(208) 210-3840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-28136
ID
1041C0700X
Clinical Social Worker
LW00009445
WA
Other
Enumeration date
07/10/2007
Last updated
08/07/2023
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