Individual
MR. MATTHEW COLT ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
495 YELLOWSTONE AVE, POCATELLO, ID 83201-4531
(208) 232-0021
(208) 232-0031
Mailing address
495 YELLOWSTONE AVE, POCATELLO, ID 83201-4531
(208) 232-0021
(208) 232-0031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4234
ID
Other
Enumeration date
02/19/2013
Last updated
03/18/2013
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