Natalia Samudovsky, LCPC

NPI 1649752403 · on the registry since 2018

Practice

Address: 12553 W Explorer Dr Ste 190
Boise, ID 83713
Phone: (208) 376-7083
Fax: (208) 321-5069
Organisation at this address: Mentor Idaho, Llc
Thrive Community Services, Llc
Trivium Life Services Mountain West, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101Y00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-08-01

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