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Ms. Leyla Amanda Mata, MA,EDM,LPC
Professional Counselor in Fort Lee, New Jersey
NPI 1366730970

Leyla Amanda Mata is a Professional Counselor based in Fort Lee, NJ and is specialized in Professional. Leyla Amanda Mata practices in Fort Lee, NJ and has the professional credentials of MA,EDM,LPC. The NPI Number for Leyla Amanda Mata is 1366730970 and holds a License No. 37PC00413800 (New Jersey).

The current practice location address for Leyla Amanda Mata is 520 Main St Ste 204, Fort Lee, NJ and can be reached out via phone at 201-397-5662.

Location: 520 Main St Ste 204, Fort Lee, NJ, 07024-4501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366730970
Provider Name
Leyla Amanda Mata
Credential
MA,EDM,LPC
Provider Entity Type
Individual
Gender
Female
Address
520 Main St Ste 204, Fort Lee, NJ, 07024-4501
Phone Number
201-397-5662
Fax Number
Provider Enumeration Date
07/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
520 Main St Ste 204
City
Fort Lee
State
New Jersey
Zip
07024-4501
Phone Number
201-397-5662
Fax Number
person
Provider Business Mailing Address Details
Address
520 Main St Ste 204
City
Fort Lee
State
New Jersey
Zip
07024-4501
Phone Number
201-397-5662
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
37PC00413800 (New Jersey)
Definition
Definition to come...
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