Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BERNARD ANTHONY MATHERNE JR., MS,ICADCII
Active Sole ProprietorMR. BERNARD ANTHONY MATHERNE JR., MS,ICADCII is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LUCEDALE, Mississippi. NPI 1871115089 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LUCEDALE, MS
Registration Details
- NPI Number
- 1871115089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2020 (6.3033088396705 yrs)
- Last Updated
- May 11, 2020
- License
-
AD97-025M (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
226 LOWE LANELUCEDALE, MS, 394524313Browse MS providers · Browse ZIP 39452
- Phone
- 6017915135
- Fax
- 6017915140
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.