Individual
RICKY MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 N MAYSVILLE ST, MT STERLING, KY 40353-1050
(859) 497-0594
(859) 432-1025
Mailing address
425 N MAYSVILLE ST, MT STERLING, KY 40353-1050
(859) 497-0594
(859) 432-1025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
242014
KY
106H00000X
Marriage & Family Therapist
Primary
242014
KY
Other
Enumeration date
10/09/2015
Last updated
05/06/2020
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