Individual provider · Type 1 NPI

Stefanie Marie Matta

Mental Health Counselor · Buffalo, NY

NPI number 1639787344 Active

Practice location

1131 Broadway St
Buffalo, NY 14212-1501

Mailing address

148 Sanders Rd Apt 5
Buffalo, NY 14216-1358

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1639787344

Stefanie Marie Matta's National Provider Identifier is 1639787344, issued on Jul 20, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on Jul 20, 2020.