Individual provider · Type 1 NPI

Marissa Simona Matta, PhD, MHC-P, NCC, CRC

Mental Health Counselor · New York, NY

NPI number 1225699440 Active

Practice location

1441 Broadway Fl 5
New York, NY 10018-1905

Mailing address

1775 E 18th St Apt 3C
Brooklyn, NY 11229-2110

Other practice locations

  • 1775 E 18th St Apt 3C, Brooklyn, NY 11229-2110 · (718) 207-3730

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1810112401 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1225699440

Marissa Simona Matta, PhD, MHC-P, NCC, CRC's National Provider Identifier is 1225699440, issued on Jun 27, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Jun 27, 2019.