Individual
KIMBERLY REED MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
610 W HAYS ST, BOISE, ID 83702-5511
(208) 381-7070
(208) 381-7092
Mailing address
610 W HAYS ST, BOISE, ID 83702-5511
(208) 381-7070
(208) 381-7092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMSW-29187
ID
104100000X
Social Worker
LCSW-33136
ID
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/22/2008
Last updated
03/16/2020
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