Individual provider · Type 1 NPI

Theresa Ann Mata

Peer Specialist · Yukon, OK

NPI number 1124912928 Active

Practice location

1208 Garden Grv
Yukon, OK 73099-4956

Call (918) 922-4817 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1124912928

Theresa Ann Mata's National Provider Identifier is 1124912928, issued on Jun 5, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Yukon, OK. The record was last updated on Jun 5, 2025.