Individual provider · Type 1 NPI

Samuel Phillip Luque, LPC

Mental Health Counselor · Boise, ID

NPI number 1710178876 Active

Practice location

1055 N Curtis Rd
Boise, ID 83706

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 1907 W Lemp St, Boise, ID 83702-2546 · (208) 841-7144

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-3615 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1710178876

Samuel Phillip Luque, LPC's National Provider Identifier is 1710178876, issued on Aug 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on May 16, 2023.