Individual provider · Type 1 NPI

Jasmine Mata

Mental Health Counselor · San Diego, CA

NPI number 1649781279 Active

Practice location

4394 30th St
San Diego, CA 92104-1314

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1649781279

Jasmine Mata's National Provider Identifier is 1649781279, issued on Oct 23, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jul 12, 2022.