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Karla Ivette Jimenez Mata, MS

Marriage & Family Therapist in Visalia, CA. Individual provider (NPI-1).

NPI number1982021978
StatusActive
Last updated in NPPESFeb 19, 2020

Details

NPI
1982021978
Entity type
Individual (NPI-1)
Name
Karla Ivette Jimenez Mata
Credential
MS
Sex
Female
Sole proprietor
No
Enumeration date
Mar 27, 2014
Certification date
Feb 19, 2020
Last updated
Feb 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistLMFT117980CAYes
106H00000X Marriage & Family TherapistIMF91374CA

Practice location

520 E Tulare Ave
Visalia, CA 93292-3629

Phone 559-623-0900

Mailing address

520 E Tulare Ave
Visalia, CA 93292-3629

Phone 559-623-0900

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