Individual provider · Type 1 NPI
Leyla Amanda Mata, M.A., ED.M, L.P.C.
Professional Counselor · Fort Lee, NJ
NPI number
1366730970
Active
Practice location
520 Main St Ste 204
Fort Lee, NJ 07024-4501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00413800 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1366730970
Leyla Amanda Mata, M.A., ED.M, L.P.C.'s National Provider Identifier is 1366730970, issued on Jul 17, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Lee, NJ. The record was last updated on Jul 17, 2011.