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Michelle Lauren Mata, MSW
Mental Health Counselor in Pomona, California
NPI 1295941839

Michelle Lauren Mata is a Mental Health Counselor based in Chino Hills, CA and is specialized in Mental Health. Michelle Lauren Mata practices in Pomona, CA and has the professional credentials of MSW. The NPI Number for Michelle Lauren Mata is 1295941839 and holds a License No. ASW 12000 (California).

The current practice location address for Michelle Lauren Mata is 2008 N Garey Ave, Pomona, CA and can be reached out via phone at 909-623-6131.

Location: 2008 N Garey Ave, Pomona, CA, 91709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295941839
Provider Name
Michelle Lauren Mata
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
2008 N Garey Ave, Pomona, CA, 91709
Phone Number
909-623-6131
Fax Number
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2008 N Garey Ave
City
Pomona
State
California
Zip
91767-2722
Phone Number
909-623-6131
Fax Number
person
Provider Business Mailing Address Details
Address
2008 N Garey Ave
City
Pomona
State
California
Zip
91767-2722
Phone Number
909-623-6131
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW 12000 (California)
Definition
Definition to come...
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