Individual
MR. MATTHEW JOSEPH DAHLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1720 E. 32ND ST, SILVER CITY, NM 88061
(575) 388-4412
(575) 313-8236
Mailing address
530 DEMOSS ST, LORDSBURG, NM 88045-2618
(575) 542-8384
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0143431
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
10/24/2008
Last updated
07/09/2015
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