Individual
MS. MARY JEAN NEY-MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4836 MAIN ST, MOSS POINT, MS 39563-2700
(228) 363-8899
Mailing address
PO BOX 5, OCEAN SPRINGS, MS 39566-0005
(228) 623-8994
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2370C
AL
101YM0800X
Mental Health Counselor
Primary
C6529
MS
101YM0800X
Mental Health Counselor
CPO3943775
WV
Other
Enumeration date
12/07/2006
Last updated
01/23/2012
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