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Individual

KARI THREADGILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHCA, LPC, CMHS

Contact information

Practice address
250 NORTHWEST BLVD STE 107A, COEUR D ALENE, ID 83814-2971
(208) 449-1272
(208) 209-7427
Mailing address
2388 W DALTON AVE, COEUR D ALENE, ID 83815-0425

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC 60590024
WA

Other

Enumeration date
02/20/2017
Last updated
03/17/2018
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