Individual
HEATHER MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13900 W WAINWRIGHT DR STE 101H, BOISE, ID 83713-5028
(208) 917-1407
Mailing address
13900 W WAINWRIGHT DR STE 101H, BOISE, ID 83713-5028
(208) 917-1407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC9287
ID
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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