Individual provider · Type 1 NPI
Matthew Jordan Kezele, LPC
Mental Health Counselor · Twin Falls, ID
NPI number
1770072522
Active
Practice location
1363 Fillmore St Ste B
Twin Falls, ID 83301-3392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-6881 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1770072522
Matthew Jordan Kezele, LPC's National Provider Identifier is 1770072522, issued on May 8, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Twin Falls, ID. The record was last updated on May 8, 2018.