Paul Bernard Matens, LCSW
Social Worker, Clinical in Jackson, MS. Individual provider (NPI-1).
NPI number1043302003
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043302003
- Entity type
- Individual (NPI-1)
- Name
- Paul Bernard Matens
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C0732 | MS | Yes |
Practice location
1500 E. Woodrow Wilson Dr.Department Of Veterans Affairs Medical Center (586/122
Jackson, MS 39216-5591
Phone 601-362-4471 · Fax 601-368-4093
Mailing address
1500 East Woodrow Wilson DriveDepartment Of Veterans Affairs Medical Center (586/122)
Jackson, MS 39216-5591
Phone 601-362-4471 · Fax 601-368-4093
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