Individual provider · Type 1 NPI

Michelle Lauren Mata, MSW

Mental Health Counselor · Pomona, CA

NPI number 1295941839 Active

Practice location

2008 N Garey Ave
Pomona, CA 91767-2722

Mailing address

4273 Foxrun Drive
Chino Hills, CA 91709

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW 12000 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1295941839

Michelle Lauren Mata, MSW's National Provider Identifier is 1295941839, issued on May 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pomona, CA. The record was last updated on Jul 8, 2007.