Individual
DR. DESTINEE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
617 E MADISON AVE, BASTROP, LA 71220-3833
(318) 239-3890
(318) 239-3891
Mailing address
617 E MADISON AVE, BASTROP, LA 71220-3833
(318) 239-3890
(318) 239-3891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLC9261
LA
101YP2500X
Professional Counselor
Primary
9261
LA
171M00000X
Case Manager/Care Coordinator
PLC9261
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/13/2016
Last updated
01/22/2025
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