Juan Mata
NPI #1790563864 in Fairview, Oregon
Provider Information
- NPI Number
- 1790563864
- Entity Type
- Individual
- Name
- Juan Mata
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 19, 2023
- Last Updated
- Aug 19, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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