Fred Ignacio Mata is a Counselor in San Jose, California. Fred Ignacio Mata practices all healthcare services and medical treatments related to Counselor. The NPI Number for Fred Ignacio Mata is 1720249295. The last update date is 2008-06-18.
Fred Ignacio Mata's current location address is 1885 Lundy Ave, San Jose, California. You can contact this provider via phone number 4085037960. The mailing address for Fred Ignacio Mata is 1885 Lundy Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Ignacio Mata |
|---|---|
| Address | 1885 Lundy Ave, San Jose, California |
| Phone Number | 4085037960 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720249295 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 1885 Lundy Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951311887 |
| Phone Number | 4085037960 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identifier code assigned to Fred Ignacio Mata by the Centers for Medicare & Medicaid Services?
The Fred Ignacio Mata has been issued the NPI (National Provider Identifier) 1720249295 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Fred Ignacio Mata located?
The Fred Ignacio Mata is located at 1885 Lundy Ave, San Jose, CA 951311887.
What is Fred Ignacio Mata's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fred Ignacio Mata is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720249295 to Fred Ignacio Mata?
The Centers for Medicare & Medicaid Services originally issued the 1720249295 to Fred Ignacio Mata on 2008-06-18.
When was the information pertaining to Fred Ignacio Mata most recently updated or revised?
The details related to Fred Ignacio Mata, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-18.
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