| Sage And Pine Counseling, Llc | |
|
1042 W Mill Ave Ste 103 Coeur D Alene ID 83814-2489 | |
| (208) 405-0260 | |
| Not Available |
| Full Name | Sage And Pine Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1042 W Mill Ave Ste 103, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Karissa Kimes (OWNER AND PRACTITIONER) |
| Authorized Official Contact | 2086993667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage And Pine Counseling, Llc 1042 W Mill Ave Ste 103 Coeur D Alene ID 83814-2489 Ph: (208) 405-0260 | Sage And Pine Counseling, Llc 1042 W Mill Ave Ste 103 Coeur D Alene ID 83814-2489 Ph: (208) 405-0260 |
| NPI Number | 1558049155 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558049155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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