Individual provider · Type 1 NPI
Samantha Boomgarden, LPC
Professional Counselor · Chicago, IL
NPI number
1447973243
Active
Practice location
30 N Michigan Ave, St 809
Chicago, IL 60602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.018208 (IL) |
Professional Counselor: Definition to come...
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About NPI 1447973243
Samantha Boomgarden, LPC's National Provider Identifier is 1447973243, issued on Sep 26, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Feb 2, 2024.