Individual provider · Type 1 NPI

Victoria Lynn Mata

Addiction (Substance Use Disorder) Counselor · Fowler, CA

NPI number 1497479646 Active

Practice location

311 E Merced St
Fowler, CA 93625-2316

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16045-RAC (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497479646

Victoria Lynn Mata's National Provider Identifier is 1497479646, issued on Sep 30, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fowler, CA. The record was last updated on Sep 30, 2022.