Individual
KATHRYN MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 INDIAN RIVER RD STE 100, VIRGINIA BEACH, VA 23464-5252
(757) 289-1125
Mailing address
5505 INDIAN RIVER RD STE 100, VIRGINIA BEACH, VA 23464-5252
(757) 289-1125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704018747
VA
221700000X
Art Therapist
25-758
VA
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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