Individual provider · Type 1 NPI

Andrea L. Masom, LCPC

Professional Counselor · Moscow, ID

NPI number 1083623391 Active

Practice location

106 E 3rd St, Suite 2B
Moscow, ID 83843-2970

Call (208) 882-1289 Map

Fax (208) 882-8406

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCPC#3017 (ID)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1083623391

Andrea L. Masom, LCPC's National Provider Identifier is 1083623391, issued on Aug 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moscow, ID. The record was last updated on Jul 8, 2007.