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1932449519
MATTHEW COLT ANDERSEN
POCATELLO, ID
NPI
1932449519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-4234)
Enumeration Date
2013-02-19
Last Update Date
2013-03-18
Business Address
Mr. MATTHEW COLT ANDERSEN LPC
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-232-0021
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Mailing Address
Mr. MATTHEW COLT ANDERSEN LPC
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-232-0021
Copy
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