Lora Lee Mattox, CPC - Centralia, WA

Lora Lee Mattox, CPC

Peer Specialist in Centralia, Washington

NPI 1215400155

Lora Lee Mattox is a Peer Specialist based in Centralia, WA. Lora Lee Mattox practices in Centralia, WA and has the professional credentials of CPC. The NPI Number for Lora Lee Mattox is 1215400155 and holds a License No. CG60864636 (Washington).

The current practice location address for Lora Lee Mattox is 1723 Kresky Ave, Centralia, WA and can be reached out via phone at 360-559-6201 and via fax at 360-807-4429.

Location: 1723 Kresky Ave, Centralia, WA, 98531-8985

NPI Number

1215400155

Provider Name

Lora Lee Mattox

Credential

CPC

Provider Entity Type

Individual

Gender

Female

Address

1723 Kresky Ave, Centralia, WA, 98531-8985

Phone Number

360-559-6201

Fax Number

360-807-4429

Provider Enumeration Date

01/03/2019

Last Update Date

03/10/2024

Address

1723 Kresky Ave

City

Centralia

State

Washington

Zip

98531-8985

Phone Number

360-559-6201

Fax Number

360-807-4429

Address

1723 Kresky Ave

City

Centralia

State

Washington

Zip

98531-8985

Phone Number

360-559-6201

Fax Number

360-807-4429

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

CG60864636 (Washington)

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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