Individual
MATTHEW THOMAS SELWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 N MONROE ST STE 200, SPOKANE, WA 99201-2148
(509) 413-2950
Mailing address
PO BOX 48028, SPOKANE, WA 99228-1028
(509) 821-1441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61522834
WA
175T00000X
Peer Specialist
CG61469435
—
Other
Enumeration date
10/23/2023
Last updated
10/18/2024
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