Individual
NATALIA SAMUDOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12553 W EXPLORER DR STE 190, BOISE, ID 83713-1612
(208) 376-7083
(208) 321-5069
Mailing address
12553 W EXPLORER DR STE 190, BOISE, ID 83713-1612
(208) 376-7083
(208) 321-5069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6969
ID
101YP2500X
Professional Counselor
Primary
9023
ID
Other
Enumeration date
08/29/2018
Last updated
08/01/2023
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