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Individual

ASHLEY ROBYN MATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CG70048529

Contact information

Practice address
111 SOUTH 2ND AVE, YAKIMA, WA 98902
(509) 575-2885
Mailing address
11712 PHEASANT RUN, PASCO, WA 99301-5037
(425) 246-1119

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91-0948131
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91-0948131
WA
Enumeration date
09/10/2025
Last updated
03/17/2026
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