Gino Mata, LCDC-INTERN
Gino Mata, LCDC-INTERN is an Addiction (Substance Use Disorder) Counselor in Azle, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2023
Practice location Address checks out
7510 Fm 1886Azle, TX 76020-1054
Phone: (817) 448-8893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CI (TX) |
|---|
Record details
| NPI number | 1417736521 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCDC-INTERN |
| Sole proprietor | Yes |
| NPI enumerated | September 27, 2023 |
| Last updated in NPPES | September 27, 2023 |
| Certification date | September 27, 2023 |
| Mailing address | 7510 Fm 1886, Azle, TX 76020-1054 |
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Arianna Martinez, LCDC-INTERN
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Alfred Torres, LCDC
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Sheila Turner, LCDC
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Jacqueline Mary Williston, LPC, LCDC
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