MR. Matthew Blaise Mcdaniel, LMSW is an addiction (substance use disorder) counselor in Boise, ID. MR. Matthew Blaise Mcdaniel, LMSW NPI is 1164019303. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
9196 W BARNES DR
BOISE, ID
ZIP 83709-552
Phone: (208) 433-0400
Fax: (208) 378-5824
The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.