JOSHUA MATA

LOUISA, KY
NPI1407496771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   262570)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2020-01-14
Last Update Date2022-10-10
Business Address
JOSHUA MATA
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
JOSHUA MATA
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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