Individual provider · Type 1 NPI
Krystal Jade Mattox, LPC
Professional Counselor · Lynchburg, VA
NPI number
1033684899
Active
Practice location
1621 Enterprise Dr Ofc 5
Lynchburg, VA 24502-5797
Fax (434) 239-4955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1033684899
Krystal Jade Mattox, LPC's National Provider Identifier is 1033684899, issued on Oct 9, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lynchburg, VA. The record was last updated on Oct 9, 2018.