Individual provider · Type 1 NPI
Edward Christopher Mata
Addiction (Substance Use Disorder) Counselor · French Camp, CA
NPI number
1265655146
Active
Practice location
500 W Hospital Rd.
French Camp, CA 95231
Mailing address
2033 Lucile Ave
Stockton, CA 95209-1798
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1265655146
Edward Christopher Mata's National Provider Identifier is 1265655146, issued on Apr 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in French Camp, CA. The record was last updated on Jul 8, 2007.