person
Kelly Mata
Professional Counselor in Southington, Connecticut
NPI 1649504788

Kelly Mata is a Professional Counselor based in Southington, CT and is specialized in Professional. Kelly Mata practices in Southington, CT. The NPI Number for Kelly Mata is 1649504788 and holds a License No. 002382 (Connecticut).

The current practice location address for Kelly Mata is 41 Old Turnpike Rd, Southington, CT and can be reached out via phone at 860-985-6295.

Location: 41 Old Turnpike Rd, Southington, CT, 06489-3633
person
Provider Profile Details
NPI Number
1649504788
Provider Name
Kelly Mata
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Old Turnpike Rd, Southington, CT, 06489-3633
Phone Number
860-985-6295
Fax Number
Provider Enumeration Date
09/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 Old Turnpike Rd
City
State
Zip
06489-3633
Phone Number
860-985-6295
Fax Number
person
Provider Business Mailing Address Details
Address
41 Old Turnpike Rd
City
State
Zip
06489-3633
Phone Number
860-985-6295
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
002382 (Connecticut)
Definition
Definition to come...
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