Individual provider · Type 1 NPI

Matthew Dunham

Marriage & Family Therapist · Rexburg, ID

NPI number 1700159852 Active

Practice location

1120 Stocks Ave Ste 102
Rexburg, ID 83440-3508

Fax (801) 896-5334

Mailing address

49 E 200 S
Clearfield, UT 84015-1047

Other practice locations

  • 49 E 200 S, Clearfield, UT 84015-1047 · (801) 779-0095

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Marriage & Family Therapist Primary 106H00000X86348136004 (UT)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1700159852

Matthew Dunham's National Provider Identifier is 1700159852, issued on Feb 21, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Rexburg, ID. The record was last updated on Apr 12, 2024.