Individual provider · Type 1 NPI

Matthew Caleb Weaver

Peer Specialist · Boise, ID

NPI number 1255719092 Active

Practice location

300 S 23rd St
Boise, ID 83702-9100

Call (208) 345-1170 Map

Fax (208) 345-3502

Mailing address

211 16th Ave N
Nampa, ID 83687-4058

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1255719092

Matthew Caleb Weaver's National Provider Identifier is 1255719092, issued on May 13, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boise, ID. The record was last updated on May 13, 2015.