SHANNON MATTA

FONTANA, CA
NPI1497157549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  96973)
Enumeration Date2014-09-19
Last Update Date2020-09-30
Business Address
SHANNON MATTA
14677 MERRILL AVE
FONTANA, CA 92335-4219
Phone number: 951-643-2340
Mailing Address
SHANNON MATTA
406 SILVERWOOD AVE APT A
UPLAND, CA 91786-5105
Phone number: 310-293-6604
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