person
Dolores Irene Mata
Mental Health Counselor in San Jose, California
NPI 1053644187

Dolores Irene Mata is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Dolores Irene Mata practices in San Jose, CA. The NPI Number for Dolores Irene Mata is 1053644187 and holds a License No. (California).

The current practice location address for Dolores Irene Mata is 797 Willow Glen Way, San Jose, CA and can be reached out via phone at 408-561-0392.

Location: 797 Willow Glen Way, San Jose, CA, 95125-1870
person
Provider Profile Details
NPI Number
1053644187
Provider Name
Dolores Irene Mata
Credential
Provider Entity Type
Individual
Gender
Female
Address
797 Willow Glen Way, San Jose, CA, 95125-1870
Phone Number
408-561-0392
Fax Number
Provider Enumeration Date
09/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
797 Willow Glen Way
City
State
Zip
95125-1870
Phone Number
408-561-0392
Fax Number
person
Provider Business Mailing Address Details
Address
797 Willow Glen Way
City
State
Zip
95125-1870
Phone Number
408-561-0392
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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