Provider Demographics
NPI:1700107877
Name:RUPINSKI, KRISTIN MICHELE (BA, QP, CM)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:MICHELE
Last Name:RUPINSKI
Suffix:
Gender:F
Credentials:BA, QP, CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 E EARLY DAWN AVE
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-7911
Mailing Address - Country:US
Mailing Address - Phone:208-964-4507
Mailing Address - Fax:
Practice Address - Street 1:1200 W IRONWOOD DR
Practice Address - Street 2:SUITE 101
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2660
Practice Address - Country:US
Practice Address - Phone:208-667-2979
Practice Address - Fax:208-667-3569
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)