Dahlsten, Matthew Joseph

Dahlsten, Matthew Joseph is an individual health care provider with primary practice located at 1720 E. 32Nd St , Silver City NM 88061. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Dahlsten, Matthew Joseph can be contacted via phone (575) 388-4412.

Contact Information

Primary practice address
1720 E. 32Nd St Silver City NM 88061
Phone: (575) 388-4412
Fax: (575) 313-8236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0143431 New Mexico

Profile Details

NPI number 1114170826
LBN Legal business name Dahlsten, Matthew Joseph
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2008
Last updated Jul 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114170826 NPPES
New Mexico MEDICAID 18677037

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