Individual provider · Type 1 NPI
Gavin-John K. Mata
Counselor · Hilo, HI
NPI number
1831462811
Active
Practice location
2706 Pulima Dr
Hilo, HI 96720-1331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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 1831462811
Gavin-John K. Mata's National Provider Identifier is 1831462811, issued on Feb 21, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hilo, HI. The record was last updated on Feb 21, 2012.