Individual provider · Type 1 NPI
Magdalene Mata, M. ED. LPC
Professional Counselor · Victoria, TX
NPI number
1962848952
Active
Practice location
117 Brookwood
Victoria, TX 77901-3820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 68277 (TX) |
Professional Counselor: Definition to come...
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About NPI 1962848952
Magdalene Mata, M. ED. LPC's National Provider Identifier is 1962848952, issued on May 16, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Victoria, TX. The record was last updated on May 16, 2013.