Individual provider · Type 1 NPI

Ivette Matos

Mental Health Counselor · Enfield, CT

NPI number 1205147808 Active

Practice location

153 Hazard Ave
Enfield, CT 06082-4592

Fax (860) 253-5030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205147808

Ivette Matos's National Provider Identifier is 1205147808, issued on Jun 29, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enfield, CT. The record was last updated on Jun 29, 2010.