Individual
BARBARA MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
51 CEDAR ST, LAKE RONKONKOMA, NY 11779-2301
(484) 999-1174
Mailing address
51 CEDAR ST, LAKE RONKONKOMA, NY 11779-2301
(484) 999-1174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011561
NY
Other
Enumeration date
08/10/2021
Last updated
02/21/2025
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