Matthew T Harris, LPC

NPI #1841637659 in Chubbuck, Idaho

Provider Information

NPI Number
1841637659
Entity Type
Individual
Name
Matthew T Harris, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jun 3, 2013
Last Updated
Jun 3, 2013

Practice Location

Address
4460 CENTRAL WAY
Address 2
STE 2
State
Idaho
ZIP Code
83202-5095
Phone
(208) 237-1711

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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