MATTHEW BLAISE MCDANIEL

BOISE, ID
NPI1164019303
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  LMSW-38732)
Enumeration Date2020-12-22
Last Update Date2020-12-22
Business Address
Mr. MATTHEW BLAISE MCDANIEL LMSW
9196 W BARNES DR
BOISE, ID 83709-1552
Phone number: 208-433-0400
Mailing Address
Mr. MATTHEW BLAISE MCDANIEL LMSW
9196 W BARNES DR
BOISE, ID 83709-1552
Phone number: 208-433-4000
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