Organization
MATNEY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA RENE MATNEY LCSW, CADC (OWNER)
(208) 935-7855
Entity
Organization
Contact information
Practice address
306 MAIN STREET, KAMIAH, ID 83536-6701
(208) 935-7855
(208) 935-7855
Mailing address
PO BOX 1483, KAMIAH, ID 83536-1483
(208) 935-7855
(208) 935-7855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-29069
ID
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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