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Individual

MATHEW HEINDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1820 S. EAGLE ROAD, MERIDIAN, ID 83642
(208) 855-9301
Mailing address
PO BOX 1232, MERIDIAN, ID 83680-1232

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-3806
ID

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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