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1841637659
MATTHEW T HARRIS
CHUBBUCK, ID
NPI
1841637659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-3879)
Enumeration Date
2013-06-03
Last Update Date
2013-06-03
Business Address
-- MATTHEW T HARRIS LPC
4460 CENTRAL WAY STE 2
CHUBBUCK, ID 83202-5095
Phone number: 208-237-1711
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Mailing Address
-- MATTHEW T HARRIS LPC
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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