Individual
RICHARD STEVEN MATKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1253 N COLE RD, BOISE, ID 83704-8647
(208) 376-7083
(208) 321-5069
Mailing address
13739 CRISHOLM RD, CALDWELL, ID 83607-8219
(208) 989-9360
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-3057
ID
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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