Individual
SAMANTHA GREGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
859 S YELLOWSTONE HWY STE 203, REXBURG, ID 83440-5294
(208) 269-6980
(208) 254-5205
Mailing address
859 S YELLOWSTONE HWY STE 203, REXBURG, ID 83440-5294
(208) 269-6980
(208) 254-5205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8911199
ID
Other
Enumeration date
01/17/2023
Last updated
10/07/2025
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