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Individual

WARREN EUGENE MATTHIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC, CAS

Contact information

Practice address
2325 Q ST, BEDFORD, IN 47421-4718
(812) 279-4673
Mailing address
2325 'Q' ST, BEDFORD, IN 47421-2803
(812) 279-4673

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000041A
IN

Other

Enumeration date
08/25/2010
Last updated
09/18/2012
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