Kimes, Karissa

Kimes, Karissa is an individual health care provider with primary practice located at 1042 W Mill Ave Ste 103 , Coeur D Alene ID 83814-2489. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kimes, Karissa can be contacted via phone (208) 699-3667.

Contact Information

Primary practice address
1042 W Mill Ave Ste 103 Coeur D Alene ID 83814-2489
Phone: (208) 699-3667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LAMFT-7786 Idaho

Profile Details

NPI number 1396406211
LBN Legal business name Kimes, Karissa
Credentials LAMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2022
Last updated Oct 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396406211 NPPES
Idaho Other LAMFT-7786 STATE LICENSURE BOARD

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