Mata, Jacqueline
Mata, Jacqueline is an individual health care provider with primary practice located at 101 William Henry Dr , Monroe CT 06468-2556. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mata, Jacqueline can be contacted via phone (203) 520-2034.Contact Information
Primary practice address
101 William Henry Dr
Monroe CT 06468-2556
Phone: (203) 520-2034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1700148608 |
|---|---|
| LBN Legal business name | Mata, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2012 |
| Last updated | Jun 15th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Gifford, Janis Herlth
423 Main Street Stepney Baptist Church, Monroe CT 06468 -
Szczypiorski, Bartosz J
85 Lantern Dr , Monroe CT 06468-1009 -
Davis, Jessica
755 Main St Ste 1 , Monroe CT 06468-2830 -
Bruzinski, Christine Dwyer
755 Main St Building 8, Monroe CT 06468 -
Arnott, Mary L
390 E Cedar St , Sequim WA 98382 -
Reynolds, Elizabeth
755 Main St Unit 3 , Monroe CT 06468-2830 -
Christenberry, Alan J
119 W Market St , Columbia City IN 46725-2311 -
Arnold, Nicole L
731 Main St , Monroe CT 06468-2872