Individual
MATTHEW JAY MCNIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LPC-860
Contact information
Practice address
3928 ROAD 9, BURLINGTON, WY 82411-9731
(307) 272-9224
(307) 762-3715
Mailing address
3928 ROAD 9, BURLINGTON, WY 82411-9731
(307) 272-9224
(307) 762-3715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-860
WY
101YS0200X
School Counselor
STANDARD
WY
103TS0200X
School Psychologist
STANDARD
WY
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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