Individual provider · Type 1 NPI

Destinee Matthews, M.S.

Professional Counselor · Bastrop, LA

NPI number 1174989610 Active

Practice location

617 E Madison Ave
Bastrop, LA 71220-3833

Call (318) 239-3890 Map

Fax (318) 239-3891

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XPLC9261 (LA)
Case Manager/Care Coordinator 171M00000XPLC9261 (LA)
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500X9261 (LA)

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About NPI 1174989610

Destinee Matthews, M.S.'s National Provider Identifier is 1174989610, issued on Jan 13, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bastrop, LA. The record was last updated on Jan 22, 2025.