MEDICARE: MRS. KRISTIN NOEL HANN OPRIS MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		MI
2	101YM0800X	Mental Health Counselor	LH60302436	WA
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	L2003307	MI
4	101YM0800X	Mental Health Counselor	LCPC-9077	ID

General Provider Information

NPI Number	:	1467736397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIN NOEL HANN OPRIS MA

Provider Business Mailing Address
First Line	:	5150 W EXPO PKWY
Second Line	:	M-203
City	:	POST FALLS
State	:	ID
Zip	:	83854
Country	:	US
Telephone Number	:	509-818-9964
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 W EXPO PKWY
Second Line	:	M-203
City	:	POST FALLS
State	:	ID
Zip	:	83854
Country	:	US
Telephone Number	:	509-818-9964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2011
Last Update Date	:	04/06/2026

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