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Individual
BRETT L MATHERNE
Active
Individual
BRETT L MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.C.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
835
LA
251S00000X
Community/Behavioral Health Agency
431
LA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
431
LA
Other
Enumeration date
11/16/2007
Last updated
06/06/2024
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