# ALLYSON KRYSTINE MATA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497494694
- **Gender:** F
- **Credential:** BHS II

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | CA | Yes |
| 175T00000X | Peer Specialist | MPSS-WPLGQV | CA | — |

## Other

- **Enumeration date:** 06/03/2022
- **Last updated:** 05/28/2024