MATTHEW JOHANSEN, MS, LPC, QSUDP
Mental Health at Vista Ave, Boise, ID

License number
Idaho LPC-5268
Category
Mental Health
Type
Mental Health
Address
Address
2273 S Vista Ave SUITE 190, Boise, ID 83705
Phone
(208) 343-2737
(208) 342-3238 (Fax)
National Provider ID: 1487066320
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about MATTHEW JOHANSEN at radaris.com
Name
Address
Phone
Matthew Johansen, age 38
4101 W Moon Lake Dr, Meridian, ID 83646
(208) 893-5199
Matthew D Johansen, age 38
4101 Moon Lake St, Meridian, ID 83646
(208) 893-5199

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