Individual provider · Type 1 NPI

Natalia Samudovsky, LCPC

Professional Counselor · Boise, ID

NPI number 1649752403 Active

Practice location

12553 W Explorer Dr Ste 190
Boise, ID 83713-1612

Fax (208) 321-5069

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X6969 (ID)
Professional Counselor Primary 101YP2500X9023 (ID)

Professional Counselor: Definition to come...

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About NPI 1649752403

Natalia Samudovsky, LCPC's National Provider Identifier is 1649752403, issued on Aug 29, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Aug 1, 2023.