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Individual

DR. PAT AKSAMIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3350 AMERICANA TER, SUITE300, BOISE, ID 83706-2521
(208) 343-1113
(208) 343-0040
Mailing address
3350 AMERICANA TER, SUITE300, BOISE, ID 83706-2521
(208) 343-1113
(208) 343-0040

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC68
ID
103T00000X
Psychologist
PSY372
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010017682
BLUE SHEILD PROVIDER
ID
01
BC Q8682
BLUE CROSS PROVIDER
ID
Enumeration date
01/30/2007
Last updated
09/11/2025
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