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Jacqueline Mata
Mental Health Counselor in Monroe, Connecticut
NPI 1700148608

Jacqueline Mata is a Mental Health Counselor based in Monroe, CT and is specialized in Mental Health. Jacqueline Mata practices in Monroe, CT. The NPI Number for Jacqueline Mata is 1700148608 and holds a License No. (Connecticut).

The current practice location address for Jacqueline Mata is 101 William Henry Dr, Monroe, CT and can be reached out via phone at 203-520-2034.

Location: 101 William Henry Dr, Monroe, CT, 06468-2556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700148608
Provider Name
Jacqueline Mata
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 William Henry Dr, Monroe, CT, 06468-2556
Phone Number
203-520-2034
Fax Number
Provider Enumeration Date
06/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 William Henry Dr
City
Monroe
State
Connecticut
Zip
06468-2556
Phone Number
203-520-2034
Fax Number
person
Provider Business Mailing Address Details
Address
101 William Henry Dr
City
Monroe
State
Connecticut
Zip
06468-2556
Phone Number
203-520-2034
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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