Individual
JOANN MARIE MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8620 HIGHWAY 1, LOCKPORT, LA 70374-4202
(985) 696-2060
Mailing address
8620 HIGHWAY 1, LOCKPORT, LA 70374-4202
(985) 696-2060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5576
LA
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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