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Robert James Mattox, EDD
Professional Counselor in Ellijay, Georgia
NPI 1487324877

Robert James Mattox is a Professional Counselor based in Ellijay, GA and is specialized in Professional. Robert James Mattox practices in Ellijay, GA and has the professional credentials of EDD. The NPI Number for Robert James Mattox is 1487324877 and holds a License No. 1489 (Georgia).

The current practice location address for Robert James Mattox is 82 William Way, Ellijay, GA and can be reached out via phone at 770-990-9197.

Location: 82 William Way, Ellijay, GA, 30540-7231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487324877
Provider Name
Robert James Mattox
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
82 William Way, Ellijay, GA, 30540-7231
Phone Number
770-990-9197
Fax Number
Provider Enumeration Date
09/16/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1489 01 GA LICENSED PROFESSIONAL COUNSELOR GA
institution
Provider Business Practice Location Address Details
Address
82 William Way
City
Ellijay
State
Georgia
Zip
30540-7231
Phone Number
770-990-9197
Fax Number
person
Provider Business Mailing Address Details
Address
82 William Way
City
Ellijay
State
Georgia
Zip
30540-7231
Phone Number
770-990-9197
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1489 (Georgia)
Definition
Definition to come...
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