Matthew T Harris, LPC Valid NPI

Individual provider · Professional Counselor · Chubbuck, ID

NPI

1841637659

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

LPC-3879 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2013-06-03

Last updated

2013-06-03