KELYN DE MATTA

Counselor

Active Individual
NPI: 1861784530

Practice Address

678 AVENUE C
Fort. Sumner, NM 88119

Phone: (575) 355-8326

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1861784530 is the National Provider Identifier for KELYN DE MATTA, a Counselor provider located in Fort. Sumner, NM. This NPI was enumerated on May 12, 2011.
KELYN DE MATTA practices at 678 AVENUE C, Fort. Sumner, NM 88119.

Quick Facts

NPI
1861784530
Type
Individual
Enumerated
May 12, 2011
Last Updated
May 12, 2011

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