Gino Mata, LCDC-INTERN is an addiction (substance use disorder) counselor in Azle, TX. Gino Mata, LCDC-INTERN NPI is 1417736521. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7510 FM 1886
AZLE, TX
ZIP 76020-054
Phone: (817) 448-8893
The enumeration date for this NPI number is 9/27/2023 and was last updated on 9/27/2023.