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Search › Minnesota › 172V00000X

Yesenia Bahena Mata

NPI 1669350708 · on the registry since 2025 · sole proprietor

Practice

Address
122 W Franklin Ave
Minneapolis, MN 55404
Phone
(612) 644-7165
Organisation at this address
Arise Care Group Inc
Heritage Sober Houses
Wellshare International
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota