Individual
SAMUEL NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1044 NORTHWEST BLVD STE C, COEUR D ALENE, ID 83814-2114
(208) 930-1740
(208) 930-1695
Mailing address
6298 W EBBTIDE DR, COEUR D ALENE, ID 83814-9755
(208) 640-5367
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-3994
ID
Other
Enumeration date
06/10/2015
Last updated
10/12/2023
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