Mirthia Samuelson, LCSW

NPI 1265821243 · on the registry since 2015

Practice

Address: 1565 E Lincoln Rd
Idaho Falls, ID 83401
Phone: (208) 524-8996
Fax: (208) 524-1205
Organisation at this address: Childrens Supportive Services Incorporated
Childrens Supportive Services Incorporated
Childrens Supportive Services Incorporated
Childrens Supportive Services Incorporaated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho