person
Matthew Caleb Weaver
Peer Specialist in Boise, Idaho
NPI 1255719092

Matthew Caleb Weaver is a Peer Specialist based in Nampa, ID. Matthew Caleb Weaver practices in Boise, ID. The NPI Number for Matthew Caleb Weaver is 1255719092 and holds a License No. (Idaho).

The current practice location address for Matthew Caleb Weaver is 300 S 23Rd St, Boise, ID and can be reached out via phone at 208-345-1170 and via fax at 208-345-3502.

Location: 300 S 23Rd St, Boise, ID, 83687-4058
person
Provider Profile Details
NPI Number
1255719092
Provider Name
Matthew Caleb Weaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 S 23Rd St, Boise, ID, 83687-4058
Phone Number
208-345-1170
Fax Number
208-345-3502
Provider Enumeration Date
05/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 S 23Rd St
City
State
Zip
83702-9100
Phone Number
208-345-1170
Fax Number
208-345-3502
person
Provider Business Mailing Address Details
Address
300 S 23Rd St
City
State
Zip
83702-9100
Phone Number
208-345-1170
Fax Number
208-345-3502
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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