Individual
MR. MATTHEW RUSSELL EVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA; LMHC
Contact information
Practice address
16000 BOTHELL EVERETT HWY, SUITE 230, MILL CREEK, WA 98012-1742
(360) 840-1903
Mailing address
1500 A., EAST COLLEGE WAY, #428, MT. VERNON, WA 98273
(360) 840-1903
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LH 60080464
WA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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