Individual
BRETT L MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.C.
Contact information
Practice address
600 W TUNNEL BLVD, HOUMA, LA 70360-5554
(985) 223-4009
(985) 223-7002
Mailing address
214 HIGHT ST, HOUMA, LA 70360
(985) 223-4009
(985) 223-7002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
835
LA
251S00000X
Community/Behavioral Health Agency
431
LA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
431
LA
Other
Enumeration date
11/16/2007
Last updated
06/06/2024
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