| White Pine Counseling | |
|
1104 W Ironwood Dr Ste A Coeur D Alene ID 83814-2605 | |
| (208) 667-8860 | |
| (208) 667-2119 |
| Full Name | White Pine Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1104 W Ironwood Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Deborah Ann Kinmouth (OWNER) |
| Authorized Official Contact | 2086678860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Pine Counseling 1104 W Ironwood Dr Ste A Coeur D Alene ID 83814-2605 Ph: (208) 667-8860 | White Pine Counseling 1104 W Ironwood Dr Ste A Coeur D Alene ID 83814-2605 Ph: (208) 667-8860 |
| NPI Number | 1932247277 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932247277 | NPI | - | NPPES |
| 000010139968 | Other | ID | REGENCE BLUESHIELD |
| L2045 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW-796 (Idaho) | Primary |
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