Dunham, Matthew

Dunham, Matthew is an sole proprietor health care provider with primary practice located at 1120 Stocks Ave Ste 102 , Rexburg ID 83440-3508. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Dunham, Matthew can be contacted via phone (801) 896-5345.

Contact Information

Primary practice address
1120 Stocks Ave Ste 102 Rexburg ID 83440-3508
Phone: (801) 896-5345
Fax: (801) 896-5334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 86348136004 Utah

Profile Details

NPI number 1700159852
LBN Legal business name Dunham, Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2012
Last updated Apr 12th, 2024 - about last year

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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