Search › Washington › 175T00000X
Lora Mattox, CPC
NPI 1215400155 · on the registry since 2019
Practice
- Address
- 1723 Kresky Ave
Centralia, WA 98531 - Phone
- (360) 559-6201
- Fax
- (360) 807-4429
- Organisation at this address
- American Behavioral Health Systems, Inc.
Great Rivers Behavioral Health Administrative Services OrgInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington