Theresa Ann Mata
Peer Specialist in Yukon, OK. Individual provider (NPI-1).
NPI number1124912928
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1124912928
- Entity type
- Individual (NPI-1)
- Name
- Theresa Ann Mata
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2025
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1208 Garden GrvYukon, OK 73099-4956
Phone 918-922-4817
Mailing address
1208 Garden GrvYukon, OK 73099-4956
Phone 918-922-4817
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All 42 Peer Specialist providers in Yukon · All 1,518 providers in Yukon
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