| Doctor Name: | KIMBERLY REED MATIAS |
| NPI Number: | 1073759049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | LMSW-29187 |
| Business Practice Address: | 600 Robbins Rd Boise, ID - 837024539 |
| Business Phone Number: | 2084895880 |
| Business Fax Number: | 2086589820 |
| Mailing Address: | 7000 N Casa Real Pl, BOISE |
| State: | ID |
| Postal Code: | 837146800 |
| Phone Number: | 2084895883 |
| Fax Number: | 2086589820 |
| NPI Enumeration Date: | 12/22/2008 |
| NPI Last Update Date: | 12/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LMSW-29187 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |