Organization
ANDREA MATA
Active
Other names
Counseling serving services
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MATA LMSW (THERAPIST)
(575) 405-2351
Entity
Organization
Contact information
Practice address
501 N ROADRUNNER PKWY APT 205, LAS CRUCES, NM 88011-8072
(575) 405-2351
Mailing address
501 N ROADRUNNER PKWY APT 205, LAS CRUCES, NM 88011-8072
(575) 405-2351
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
M-08861
NM
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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