Individual
BRANDON MASSULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA/LPCC
Contact information
Practice address
24500 CENTER RIDGE RD, BUILDING 4, SUITE 100, WESTLAKE, OH 44145-5601
(440) 899-1300
(440) 899-0266
Mailing address
24500 CENTER RIDGE RD, BUILDING 4, SUITE 100, WESTLAKE, OH 44145-5601
(440) 899-1300
(440) 899-0266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900008
OH
Other
Enumeration date
08/05/2007
Last updated
03/16/2011
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