Individual provider · Type 1 NPI
Kelly Powell Matherne, LPC
Professional Counselor · Raceland, LA
NPI number
1568979797
Active
Practice location
101 Country Village Dr
Raceland, LA 70394-2009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5577 (LA) |
Professional Counselor: Definition to come...
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About NPI 1568979797
Kelly Powell Matherne, LPC's National Provider Identifier is 1568979797, issued on Jan 9, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Raceland, LA. The record was last updated on Jan 9, 2018.