Individual
ANDREA MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
3130 HOWE PL STE 101, BELLINGHAM, WA 98226-5641
(360) 329-2055
Mailing address
3130 HOWE PL STE 101, BELLINGHAM, WA 98226-5641
(360) 329-2055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61220413
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2020
Last updated
10/25/2021
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