EDWARD CHRISTOPHER MATA

FRENCH CAMP, CA
NPI1265655146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
Mr. EDWARD CHRISTOPHER MATA
500 W HOSPITAL RD.
FRENCH CAMP, CA 95231
Phone number: 209-468-6857
Mailing Address
Mr. EDWARD CHRISTOPHER MATA
2033 LUCILE AVE
STOCKTON, CA 95209-1798
Phone number: 209-271-8278
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