Mattox, James Kenton

Mattox, James Kenton is an individual health care provider with primary practice located at 1410 W Chestnut St , Marion IL 62959-1910. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mattox, James Kenton can be contacted via phone (618) 997-2129.

Contact Information

Primary practice address
1410 W Chestnut St Marion IL 62959-1910
Phone: (618) 997-2129
Fax: (618) 997-7972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-002548 Illinois

Profile Details

NPI number 1952509531
LBN Legal business name Mattox, James Kenton
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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