person
Shannon Matta
Mental Health Counselor in Fontana, California
NPI 1497157549

Shannon Matta is a Mental Health Counselor based in Upland, CA and is specialized in Mental Health. Shannon Matta practices in Fontana, CA. The NPI Number for Shannon Matta is 1497157549 and holds a License No. 96973 (California).

The current practice location address for Shannon Matta is 14677 Merrill Ave, Fontana, CA and can be reached out via phone at 951-643-2340.

Location: 14677 Merrill Ave, Fontana, CA, 91786-5105
person
Provider Profile Details
NPI Number
1497157549
Provider Name
Shannon Matta
Credential
Provider Entity Type
Individual
Gender
Female
Address
14677 Merrill Ave, Fontana, CA, 91786-5105
Phone Number
951-643-2340
Fax Number
Provider Enumeration Date
09/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14677 Merrill Ave
City
State
Zip
92335-4219
Phone Number
951-643-2340
Fax Number
person
Provider Business Mailing Address Details
Address
14677 Merrill Ave
City
State
Zip
92335-4219
Phone Number
951-643-2340
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
96973 (California)
Definition
Definition to come...
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