Individual
BRANDON MATASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC-LP; MSED
Contact information
Practice address
33 HENRY ST, BEACON, NY 12508-3006
(845) 235-5686
Mailing address
3 HALFMOON RD APT D, BEACON, NY 12508-1110
(516) 305-2968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P130024
NY
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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