person
Matthew T Harris, LPC
Professional Counselor in Chubbuck, Idaho
NPI 1841637659

Matthew T Harris is a Professional Counselor based in Pocatello, ID and is specialized in Professional. Matthew T Harris practices in Chubbuck, ID and has the professional credentials of LPC. The NPI Number for Matthew T Harris is 1841637659 and holds a License No. LPC-3879 (Idaho).

The current practice location address for Matthew T Harris is 4460 Central Way, Chubbuck, ID and can be reached out via phone at 208-237-1711. You can also correspond with Matthew T Harris through the mailing address at PO BOX 4908, POCATELLO, ID - 83205-4908 (mailing address contact number: 208-236-1600).

Location: 4460 Central Way, Chubbuck, ID, 83205-4908
person
Provider Profile Details
NPI Number
1841637659
Provider Name
Matthew T Harris
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4460 Central Way, Chubbuck, ID, 83205-4908
Phone Number
208-237-1711
Fax Number
Provider Enumeration Date
06/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4460 Central Way
City
State
Zip
83202-5095
Phone Number
208-237-1711
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 4908
City
State
Zip
83205-4908
Phone Number
208-236-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-3879 (Idaho)
Definition
Definition to come...
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