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Individual
MR. HERMAN MATA CORTEZA
Active
Individual
MR. HERMAN MATA CORTEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
36663
CA
104100000X
Social Worker
36663
CA
1041C0700X
Clinical Social Worker
Primary
85783
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/16/2007
Last updated
11/20/2023
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