person
Mr. Bernard Anthony Matherne JR., MS,ICADCII
Addiction (Substance Use Disorder) Counselor in Lucedale, Mississippi
NPI 1871115089

Bernard Anthony Matherne JR. is an Addiction (Substance Use Disorder) Counselor based in Lucedale, MS and is specialized in Addiction (Substance Use Disorder). Bernard Anthony Matherne JR. practices in Lucedale, MS and has the professional credentials of MS,ICADCII. The NPI Number for Bernard Anthony Matherne JR. is 1871115089 and holds a License No. AD97-025M (Mississippi).

The current practice location address for Bernard Anthony Matherne JR. is 226 Lowe Lane, Lucedale, MS and can be reached out via phone at 601-791-5135 and via fax at 601-791-5140.

Location: 226 Lowe Lane, Lucedale, MS, 39452-4313
person
Provider Profile Details
NPI Number
1871115089
Provider Name
Bernard Anthony Matherne JR.
Credential
MS,ICADCII
Provider Entity Type
Individual
Gender
Male
Address
226 Lowe Lane, Lucedale, MS, 39452-4313
Phone Number
601-791-5135
Fax Number
601-791-5140
Provider Enumeration Date
05/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
226 Lowe Lane
City
State
Zip
39452-4313
Phone Number
601-791-5135
Fax Number
601-791-5140
person
Provider Business Mailing Address Details
Address
226 Lowe Lane
City
State
Zip
39452-4313
Phone Number
601-791-5135
Fax Number
601-791-5140
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
AD97-025M (Mississippi)
Definition
Definition to come...
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