NPI 1083623391

Andrea L Masom, LCPC

Practitioner Professional Counselor Moscow, ID

Practice location

Address: 106 E 3rd St Suite 2b, Moscow, ID 83843-2970
Phone: (208) 882-1289
Fax: (208) 882-8406

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LCPC#3017 (ID)

Other Counselor providers in Idaho →

Registry record

NPI: 1083623391
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.