MICHELLE LAUREN MATA

POMONA, CA
NPI1295941839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  ASW 12000)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
-- MICHELLE LAUREN MATA MSW
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
Mailing Address
-- MICHELLE LAUREN MATA MSW
4273 FOXRUN DRIVE
CHINO HILLS, CA 91709
Phone number: 909-606-5608