Individual provider · Type 1 NPI

Stacy Riddle-Mattox, MS

Professional Counselor · Oxford, MS

NPI number 1629348396 Active

Practice location

152 Highway 7 S
Oxford, MS 38655-5392

Fax (662) 236-3071

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1629348396

Stacy Riddle-Mattox, MS's National Provider Identifier is 1629348396, issued on Jan 11, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oxford, MS. The record was last updated on Nov 19, 2021.