Andersen, Matthew Colt

Andersen, Matthew Colt is an individual health care provider with primary practice located at 495 Yellowstone Ave , Pocatello ID 83201-4531. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Andersen, Matthew Colt can be contacted via phone (208) 232-0021.

Contact Information

Primary practice address
495 Yellowstone Ave Pocatello ID 83201-4531
Fax: (208) 232-0031
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-4234 Idaho

Profile Details

NPI number 1932449519
LBN Legal business name Andersen, Matthew Colt
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2013
Last updated Mar 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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