Individual provider · Type 1 NPI
Carolyn De la Mata
Mental Health Counselor · New York, NY
NPI number
1477015204
Active
Practice location
400 W 43rd St Apt 16T
New York, NY 10036-6307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 013384 (NY) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1477015204
Carolyn De la Mata's National Provider Identifier is 1477015204, issued on Apr 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Apr 18, 2023.