MARCIE LYNN MATA

FORT COLLINS, CO
NPI1548598725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CO  4971)
Enumeration Date2009-11-25
Last Update Date2009-11-25
Business Address
Ms. MARCIE LYNN MATA LPC
506 S COLLEGE AVE
FORT COLLINS, CO 80524-3002
Phone number: 970-308-4474
Mailing Address
Ms. MARCIE LYNN MATA LPC
2212 WINTERSTONE COURT
FORT COLLINS, CO 80525
Phone number: 970-308-4474