VICTORIA LYNN MATA

FOWLER, CA
NPI1497479646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  16045-RAC)
Enumeration Date2022-09-30
Last Update Date2022-09-30
Business Address
VICTORIA LYNN MATA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
Mailing Address
VICTORIA LYNN MATA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452