| Matrix Consuling Institue | |
|
1009 Freedom Blvd Watsonville CA 95076-3263 | |
| (831) 768-9398 | |
| (831) 768-7014 |
| Full Name | Matrix Consuling Institue |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1009 Freedom Blvd, Watsonville, California |
| Authorized Official Name and Position | Blanca Tavera (PRINCIPAL) |
| Authorized Official Contact | 8317689398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matrix Consuling Institue 1009 Freedom Blvd Watsonville CA 95076-3263 Ph: (831) 768-9398 | Matrix Consuling Institue 1009 Freedom Blvd Watsonville CA 95076-3263 Ph: (831) 768-9398 |
| NPI Number | 1609010461 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609010461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 23796 (California) | Primary |
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