MS. Andrea L Masom, LCPC

NPI #1083623391 in Moscow, Idaho

Provider Information

NPI Number
1083623391
Entity Type
Individual
Name
MS. Andrea L Masom, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Aug 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
106 E 3RD ST
Address 2
SUITE 2B
City
Moscow
State
Idaho
ZIP Code
83843-2970
Phone
(208) 882-1289

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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