Individual provider · Type 1 NPI

Miguelina Mata

Mental Health Counselor · Dorchester, MA

NPI number 1023489804 Active

Practice location

50 Redfield St, Suite 300
Dorchester, MA 02122-3630

Mailing address

38 Browns Ave
Lynn, MA 01905-1505

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1023489804

Miguelina Mata's National Provider Identifier is 1023489804, issued on Oct 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dorchester, MA. The record was last updated on Oct 19, 2015.