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NPI Code Detail

MEDICARE: NATALIE ASHLEY THOMSON LPC

MEDICARE: NATALIE ASHLEY THOMSON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1538563911
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE ASHLEY THOMSON LPC
Provider Business Mailing Address
First Line : PO BOX 7024
Second Line :
City : BOISE
State : ID
Zip : 83707-1024
Country : US
Telephone Number : 208-505-8843
Fax Number :
Provider Business Practice Location Address
First Line : 1799 N LAKES PL
Second Line :
City : MERIDIAN
State : ID
Zip : 83646-1833
Country : US
Telephone Number : 208-888-5905
Fax Number : 208-888-5513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2014
Last Update Date : 03/09/2015

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