Individual
MR. MATTHEW USEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1276 W RIVER ST, BOISE, ID 83702-7066
(208) 338-4699
(208) 985-4135
Mailing address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 338-4699
(208) 985-4135
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
L17407
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-21-546
OR
101YM0800X
Mental Health Counselor
Primary
20-QMHA-R-0445
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500781020MH
—
OR
05
—
500792873SUD
—
OR
Enumeration date
06/10/2020
Last updated
02/23/2026
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