Matthew Johansen, MS, LCPC, QSUDP is a mental health counselor in Meridian, ID. Matthew Johansen, MS, LCPC, QSUDP NPI is 1487066320. 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:
2131 S BONITO WAY
MERIDIAN, ID
ZIP 83642-659
Phone: (208) 202-4729
The enumeration date for this NPI number is 5/27/2014 and was last updated on 2/22/2019.