# MR. KENNETH P MATHEWSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740312248
- **Gender:** Man
- **Credential:** LMFT, LADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 000746 | CT | — |
| 106H00000X | Marriage & Family Therapist | 001026 | CT | — |
| 106H00000X | Marriage & Family Therapist | MF4145 | ME | Yes |

## Other

- **Enumeration date:** 03/10/2007
- **Last updated:** 05/29/2013