SAMANTHA LEAVITT
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1881264950- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 145 E DEER FLAT RD, KUNA, ID, 836341323
- Phone
- (208) 922-9001
Specialties & Taxonomies
Counselor, Mental Health
License: ID #LMSW-35831
Counselor, Mental Health
Primary License: ID #LCSW-42074