Individual provider · Type 1 NPI

Mark Mata

Addiction (Substance Use Disorder) Counselor · Santa Ana, CA

NPI number 1922707751 Active

Practice location

1225 W 6th St
Santa Ana, CA 92703-2101

Call (714) 972-1402 Map

Fax (714) 972-1402

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1487001122 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1922707751

Mark Mata's National Provider Identifier is 1922707751, issued on Mar 1, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Mar 1, 2023.