Kristin Lane Pllc

NPI #1841140985 in Saint Maries, Idaho

Provider Information

NPI Number: 1841140985
Entity Type: Organization
Organization Name: Kristin Lane Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 29, 2026
Last Updated: Jan 29, 2026

Practice Location

Address: 618 W COLLEGE AVE STE 1
City: Saint Maries
State: Idaho
ZIP Code: 83861-5010
Phone: (208) 582-8777

Authorized Official

Name: KRISTIN FICKLIN, LCSW
Title: OWNER
Phone: (208) 582-8777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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