Individual
GEVIN TROY MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
266 SKIDMORE LN, SUTTON, WV 26601-9271
(304) 765-4400
Mailing address
578 N ELK ST, GASSAWAY, WV 26624-1148
(304) 804-3190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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