person
Gino Mata, LCDC-INTERN
Addiction (Substance Use Disorder) Counselor in Azle, Texas
NPI 1417736521

Gino Mata is an Addiction (Substance Use Disorder) Counselor based in Azle, TX and is specialized in Addiction (Substance Use Disorder). Gino Mata practices in Azle, TX and has the professional credentials of LCDC-INTERN. The NPI Number for Gino Mata is 1417736521 and holds a License No. CI (Texas).

The current practice location address for Gino Mata is 7510 Fm 1886, Azle, TX and can be reached out via phone at 817-448-8893.

Location: 7510 Fm 1886, Azle, TX, 76020-1054
person
Provider Profile Details
NPI Number
1417736521
Provider Name
Gino Mata
Credential
LCDC-INTERN
Provider Entity Type
Individual
Gender
Male
Address
7510 Fm 1886, Azle, TX, 76020-1054
Phone Number
817-448-8893
Fax Number
Provider Enumeration Date
09/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7510 Fm 1886
City
State
Zip
76020-1054
Phone Number
817-448-8893
Fax Number
person
Provider Business Mailing Address Details
Address
7510 Fm 1886
City
State
Zip
76020-1054
Phone Number
817-448-8893
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CI (Texas)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.