Search › Idaho › 101Y00000X
Samantha Hodge-Tracy, LPC
NPI 1801270145 · on the registry since 2015 · sole proprietor
Practice
- Address
- 785 Terrace Dr
Idaho Falls, ID 83402 - Phone
- (208) 227-3571
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101Y00000X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-12
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