Individual provider · Type 1 NPI

Lora Lee Mattox, CPC

Peer Specialist · Centralia, WA

NPI number 1215400155 Active

Practice location

1723 Kresky Ave
Centralia, WA 98531-8985

Call (360) 559-6201 Map

Fax (360) 807-4429

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCG60864636 (WA)

Peer Specialist: 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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About NPI 1215400155

Lora Lee Mattox, CPC's National Provider Identifier is 1215400155, issued on Jan 3, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Centralia, WA. The record was last updated on Jan 3, 2019.