Individual provider · Type 1 NPI

Matthew Blaise McDaniel, LMSW

Addiction (Substance Use Disorder) Counselor · Boise, ID

NPI number 1164019303 Active

Practice location

9196 W Barnes Dr
Boise, ID 83709-1552

Fax (208) 378-5824

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLMSW-38732 (ID)

Addiction (Substance Use Disorder) Counselor: Definition to come...

9 other providers at this address

Other addiction (substance use disorder) counselor providers in Boise

See all in Boise →

About NPI 1164019303

Matthew Blaise McDaniel, LMSW's National Provider Identifier is 1164019303, issued on Dec 22, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boise, ID. The record was last updated on Dec 22, 2020.