MATTHEW COLT ANDERSEN

POCATELLO, ID
NPI1932449519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-4234)
Enumeration Date2013-02-19
Last Update Date2013-03-18
Business Address
Mr. MATTHEW COLT ANDERSEN LPC
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-232-0021
Mailing Address
Mr. MATTHEW COLT ANDERSEN LPC
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-232-0021
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