Individual
MATTHEW ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 N 17TH ST APT 203, BOISE, ID 83702-5150
(337) 414-9954
Mailing address
305 N 17TH ST APT 203, BOISE, ID 83702-5150
(337) 414-9954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8227
ID
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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