Individual provider · Type 1 NPI
Daniel Edward Matusiewicz, TH.M.
Mental Health Counselor · Ithaca, NY
NPI number
1275830952
Active
Practice location
201 Dey St, Suite 210
Ithaca, NY 14850-3571
Fax (607) 273-6442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 003761 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1275830952
Daniel Edward Matusiewicz, TH.M.'s National Provider Identifier is 1275830952, issued on Feb 16, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ithaca, NY. The record was last updated on Feb 16, 2011.