Individual provider · Type 1 NPI

Dolores Irene Mata

Mental Health Counselor · San Jose, CA

NPI number 1053644187 Active

Practice location

797 Willow Glen Way
San Jose, CA 95125-1870

Call (408) 561-0392 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053644187

Dolores Irene Mata's National Provider Identifier is 1053644187, issued on Sep 8, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Sep 8, 2009.