Organization
KRISTIN LANE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN FICKLIN LCSW (OWNER)
(208) 582-8777
Entity
Organization
Contact information
Practice address
618 W COLLEGE AVE STE 1, SAINT MARIES, ID 83861-5010
(208) 582-8777
Mailing address
PO BOX 67, SAINT MARIES, ID 83861-0067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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