Individual
MICHAEL B MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1309 BENNETT AVE, BURLEY, ID 83318-2676
(208) 678-7796
(385) 236-7291
Mailing address
2465 HILAND AVE APT D308, BURLEY, ID 83318-2779
(385) 236-7291
(385) 236-7291
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3371880
ID
101YM0800X
Mental Health Counselor
Primary
3371880
ID
101YP2500X
Professional Counselor
3371880
ID
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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