Provider Demographics
NPI:1538563911
Name:THOMSON, NATALIE ASHLEY (LPC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ASHLEY
Last Name:THOMSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7024
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83707-1024
Mailing Address - Country:US
Mailing Address - Phone:208-505-8843
Mailing Address - Fax:
Practice Address - Street 1:1799 N LAKES PL
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-1833
Practice Address - Country:US
Practice Address - Phone:208-888-5905
Practice Address - Fax:208-888-5513
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health