Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Ann Mata

Individual provider Peer Specialist · NPI 1124912928

Theresa Ann Mata is a Peer Specialist in Yukon, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1208 Garden Grv
Yukon, OK 73099-4956
Phone: (918) 922-4817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1124912928
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

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