Individual provider · Type 1 NPI

Carrie B. Mattox, MSP, SUDCCIV/MATC

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1447128368 Active

Practice location

3707 E Shields Ave
Fresno, CA 93726-7029

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8395 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1447128368

Carrie B. Mattox, MSP, SUDCCIV/MATC's National Provider Identifier is 1447128368, issued on Oct 24, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Nov 12, 2025.