| Mr Bernard Anthony Matherne Jr, MS,ICADCII | |
|
226 Lowe Lane, Lucedale, MS 39452-4313 | |
| (601) 791-5135 | |
| (601) 791-5140 |
| Full Name | Mr Bernard Anthony Matherne Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 226 Lowe Lane, Lucedale, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871115089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AD97-025M (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bernard Anthony Matherne Jr, MS,ICADCII 226 Lowe Ln, Lucedale, MS 39452-4313 Ph: (601) 791-5135 | Mr Bernard Anthony Matherne Jr, MS,ICADCII 226 Lowe Lane, Lucedale, MS 39452-4313 Ph: (601) 791-5135 |
Doris Nell Moody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Industrial Park Rd, Lucedale, MS 39452 Phone: 228-497-0690 | |
Lori Wicker Stokes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Industrial Park Rd, Lucedale, MS 39452 Phone: 601-947-4274 Fax: 601-947-4275 | |
Jami S. Fortner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Industrial Park Rd, Lucedale, MS 39452 Phone: 601-947-4274 | |
Carla A Brooks, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Industrial Park Road, Lucedale, MS 39452 Phone: 601-947-4274 Fax: 601-947-4275 | |
Marthajane S Cassidey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Industrial Park Road, Lucedale, MS 39452 Phone: 601-947-4274 Fax: 601-947-4275 | |
Mrs. Michelle Elaine Mersdorf, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3236 Old 63 N, Lucedale, MS 39452 Phone: 601-766-0054 | |
Jillian Langley, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Industrial Park Road, Lucedale, MS 39452 Phone: 601-947-4274 Fax: 601-947-4275 |