Mateo, Deana

Mateo, Deana is an individual health care provider with primary practice located at 720 14Th Avenue , Longview WA 98632. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Mateo, Deana can be contacted via phone (360) 423-0203.

Contact Information

Primary practice address
720 14Th Avenue Longview WA 98632
Phone: (360) 423-0203
Fax: (360) 577-0269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Peer Specialist 175T00000X 60722706 Washington

Profile Details

NPI number 1699216440
LBN Legal business name Mateo, Deana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2017
Last updated May 1st, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699216440 NPPES
Washington MEDICAID 2097910

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