institution
Marcie L Mata, Lpc, Llc
Professional Counselor in Fort Collins, Colorado
NPI 1952752131

Marcie L Mata, Lpc, Llc is a Professional Counselor based in Fort Collins, CO and is specialized in Professional. Marcie L Mata, Lpc, Llc practices in Fort Collins, CO. The NPI Number for Marcie L Mata, Lpc, Llc is 1952752131 and holds a License No. 4971 (Colorado).

The current practice location address for Marcie L Mata, Lpc, Llc is 109 Coronado Ct Bldg 7, Fort Collins, CO and can be reached out via phone at 970-308-4474 and via fax at 970-377-6767.

Location: 109 Coronado Ct Bldg 7, Fort Collins, CO, 80525-4929
institution
Provider Profile Details
NPI Number
1952752131
Provider Name
Marcie L Mata, Lpc, Llc
Credential
Provider Entity Type
Organization
Address
109 Coronado Ct Bldg 7, Fort Collins, CO, 80525-4929
Phone Number
970-308-4474
Fax Number
970-377-6767
Provider Enumeration Date
06/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24785229 05 CO
institution
Provider Business Practice Location Address Details
Address
109 Coronado Ct Bldg 7
City
State
Zip
80525-4929
Phone Number
970-308-4474
Fax Number
970-377-6767
person
Provider Business Mailing Address Details
Address
109 Coronado Ct Bldg 7
City
State
Zip
80525-4929
Phone Number
970-308-4474
Fax Number
970-377-6767
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4971 (Colorado)
Definition
Definition to come...
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