SearchIdaho104100000X

Steven Sample, LMSW

NPI 1821362963 · on the registry since 2012

Practice

Address
109 E Harrison Ave
Coeur D Alene, ID 83814
Phone
(208) 664-8347
Fax
(208) 664-9217
Organisation at this address
Restored Paths
Jennifer Romero Lcsw, Cadc, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-07

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