Whalio Doctors

NPI 1316024748

Mona Kim-Brown, LCPC

Practitioner Professional Counselor Bonners Ferry, ID

Practice location

Address
6615 Comanche St, Bonners Ferry, ID 83805
Phone
(208) 267-1718
Fax
(208) 267-7739
Mailing address
PO Box 2160, Sandpoint, ID 83864-0908

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LCPC-327 (ID)

Registry record

NPI
1316024748
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Nov 2006
Record last updated
3 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.