Individual provider · Type 1 NPI

Edna Mae Mattox, MSW

Mental Health Counselor · Gautier, MS

NPI number 1386947166 Active

Practice location

3407 Shamrock Ct
Gautier, MS 39553-6429

Fax (228) 497-1363

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386947166

Edna Mae Mattox, MSW's National Provider Identifier is 1386947166, issued on Dec 16, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gautier, MS. The record was last updated on Dec 16, 2010.