IndividualActive
Bernard Matherne, MS,ICADCII
NPI 1871115089 · Addiction (Substance Use Disorder) Counselor · Lucedale, MS
Provider details
- NPI number
- 1871115089
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MS,ICADCII
- Sex
- Male
- Sole proprietor
- Yes
- License
- AD97-025M (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
226 Lowe Lane
Lucedale, MS 39452-4313
Phone: (601) 791-5135
Fax: (601) 791-5140
Approximate (ZIP-level) locationGet directions
Mailing address
226 Lowe Ln
Lucedale, MS 39452-4313
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2020-05-11
- Certified
- 2020-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.