Individual
ADRIANA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 E LAKE AVE, WATSONVILLE, CA 95076-4826
(831) 728-6445
(831) 761-6011
Mailing address
335 E LAKE AVE, WATSONVILLE, CA 95076-4826
(831) 728-6445
(831) 761-6011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
10/30/2014
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