Individual
MATTHEW DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 STOCKS AVE STE 102, REXBURG, ID 83440-3508
(801) 896-5345
(801) 896-5334
Mailing address
49 E 200 S, CLEARFIELD, UT 84015-1047
(801) 779-0095
(801) 779-0255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
86348136004
UT
Other
Enumeration date
02/21/2012
Last updated
04/12/2024
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