Provider Demographics
NPI:1740949031
Name:MATTOX, VALERIE L (BA, MHA)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:L
Last Name:MATTOX
Suffix:
Gender:F
Credentials:BA, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7810 NORTHFORK HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2287
Mailing Address - Country:US
Mailing Address - Phone:281-844-2630
Mailing Address - Fax:
Practice Address - Street 1:6201 BONHOMME RD STE 266N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4375
Practice Address - Country:US
Practice Address - Phone:832-862-7997
Practice Address - Fax:713-583-0722
Is Sole Proprietor?:No
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health