Jessica Mata
NPI #1053126094 in Crystal Lake, Illinois
Provider Information
- NPI Number
- 1053126094
- Entity Type
- Individual
- Name
- Jessica Mata
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Feb 7, 2025
- Last Updated
- Feb 7, 2025
Practice Location
- Address
- 800 S MCHENRY AVE STE F
- City
- Crystal Lake
- State
- Illinois
- ZIP Code
- 60014-7487
- Phone
- (815) 526-3750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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