Individual
BECKY MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
470 E 3RD ST STE A&B, LOS ANGELES, CA 90013-1629
(213) 626-6411
Mailing address
470 E 3RD ST STE A&B, LOS ANGELES, CA 90013-1629
(213) 626-6411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
02/12/2026
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