Individual
STEPHANIE MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 FM 685 STE 530, PFLUGERVILLE, TX 78660-7105
(512) 938-8484
Mailing address
PO BOX 1109, MANOR, TX 78653-1109
(512) 938-8484
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/02/2024
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