Individual
CARRIE B MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, SUDCCIV/MATC
Contact information
Practice address
3707 E SHIELDS AVE, FRESNO, CA 93726-7029
(559) 229-9040
Mailing address
3707 E SHIELDS AVE, FRESNO, CA 93726-7029
(559) 229-9040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8395
CA
Other
Enumeration date
10/24/2025
Last updated
11/12/2025
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