Organization
SAGE AND PINE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA KIMES LAMFT (OWNER AND PRACTITIONER)
(208) 699-3667
Entity
Organization
Contact information
Practice address
1042 W MILL AVE STE 103, COEUR D ALENE, ID 83814-2489
(208) 405-0260
Mailing address
1042 W MILL AVE STE 103, COEUR D ALENE, ID 83814-2489
(208) 405-0260
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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