Individual provider · Type 1 NPI
Ryan Keith Mattocks, LPC
Professional Counselor · Salem, VA
NPI number
1124934955
Active
Practice location
1390 Southside Dr Ste 106
Salem, VA 24153-4684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701016387 (VA) |
Professional Counselor: Definition to come...
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About NPI 1124934955
Ryan Keith Mattocks, LPC's National Provider Identifier is 1124934955, issued on Aug 21, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Salem, VA. The record was last updated on Aug 21, 2026.