Individual provider · Type 1 NPI
Jacqueline Mata
Mental Health Counselor · Monroe, CT
NPI number
1700148608
Active
Practice location
101 William Henry Dr
Monroe, CT 06468-2556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1700148608
Jacqueline Mata's National Provider Identifier is 1700148608, issued on Jun 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Monroe, CT. The record was last updated on Jun 15, 2012.