Individual
SAMANTHA ELIZABETH MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
(208) 381-5971
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1271980
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
04/20/2026
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