Individual
BECKY MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 CHISHOLM TRL, JACKSBORO, TX 76458-1403
(940) 567-6633
Mailing address
215 CHISHOLM TRL, JACKSBORO, TX 76458-1403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68545
TX
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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