Individual
KENTON HOWELL MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S ARCHER ST, ANAHEIM, CA 92804-2417
(310) 741-0602
Mailing address
301 S ARCHER ST, ANAHEIM, CA 92804-2417
(310) 741-0602
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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