Individual
MR. BERNARD ANTHONY MATHERNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,ICADCII
Contact information
Practice address
226 LOWE LANE, LUCEDALE, MS 39452-4313
(601) 791-5135
(601) 791-5140
Mailing address
226 LOWE LN, LUCEDALE, MS 39452-4313
(601) 791-5135
(601) 791-5140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AD97-025M
MS
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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