Individual
NADINE P MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, LCDC, QMHP-CS
Contact information
Practice address
13175 WESLEYAN AVE, HORIZON CITY, TX 79928-2126
(432) 294-4575
Mailing address
13175 WESLEYAN AVE, HORIZON CITY, TX 79928-2126
(432) 294-4575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11556
TX
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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