Individual
SAMANTHA BROWNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 N MAIN ST STE 1B, MOSCOW, ID 83843-2700
(208) 683-8320
(208) 969-8380
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
(208) 969-8380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6171142
ID
104100000X
Social Worker
Primary
110512
TX
Other
Enumeration date
08/06/2024
Last updated
01/09/2026
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