Individual provider · Type 1 NPI

Kelyn Y. De Matta

Counselor · Fort Sumner, NM

NPI number 1861784530 Active

Practice location

678 Avenue C
Fort Sumner, NM 88119

Call (575) 355-8326 Map

Fax (575) 355-8327

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220

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 1861784530

Kelyn Y. De Matta's National Provider Identifier is 1861784530, issued on May 12, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Sumner, NM. The record was last updated on May 12, 2011.