Individual provider · Type 1 NPI

Fred Ignacio Mata Jr.

Counselor · San Jose, CA

NPI number 1720249295 Active

Practice location

1885 Lundy Ave, Ste 223
San Jose, CA 95131-1887

Call (408) 503-7960 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1720249295

Fred Ignacio Mata Jr.'s National Provider Identifier is 1720249295, issued on Jun 18, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Jun 18, 2008.