CAROLYN DE LA MATA

Counselor - Mental Health

Active Individual
NPI: 1477015204

Practice Address

400 W 43RD ST APT 16T
New York, NY 10036

Phone: (914) 620-2214

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X No -
Counselor - Mental Health 101YM0800X Yes 013384 (NY)

Frequently Asked Questions

NPI 1477015204 is the National Provider Identifier for CAROLYN DE LA MATA, a Counselor - Mental Health provider located in New York, NY. This NPI was enumerated on April 1, 2019.
CAROLYN DE LA MATA practices at 400 W 43RD ST APT 16T, New York, NY 10036.

Quick Facts

NPI
1477015204
Type
Individual
Enumerated
Apr 1, 2019
Last Updated
Apr 18, 2023

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