Mr. Fred Ignacio Mata JR. - San Jose, CA

Mr. Fred Ignacio Mata JR.

Counselor in San Jose, California

NPI 1720249295

Fred Ignacio Mata JR. is a Counselor based in San Jose, CA. Fred Ignacio Mata JR. practices in San Jose, CA. The NPI Number for Fred Ignacio Mata JR. is 1720249295 and holds a License No. (California).

The current practice location address for Fred Ignacio Mata JR. is 1885 Lundy Ave, San Jose, CA and can be reached out via phone at 408-503-7960.

Location: 1885 Lundy Ave, San Jose, CA, 95131-1887

NPI Number

1720249295

Provider Name

Fred Ignacio Mata JR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

1885 Lundy Ave, San Jose, CA, 95131-1887

Phone Number

408-503-7960

Fax Number

Provider Enumeration Date

06/18/2008

Last Update Date

03/09/2024

Address

1885 Lundy Ave

City

San Jose

State

California

Zip

95131-1887

Phone Number

408-503-7960

Fax Number

Address

1885 Lundy Ave

City

San Jose

State

California

Zip

95131-1887

Phone Number

408-503-7960

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

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Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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