Individual provider · Type 1 NPI

Vanessa Matossian, M.S., L.P.C.

Professional Counselor · Moscow, ID

NPI number 1669825451 Active

Practice location

317 W 6th St Ste 208
Moscow, ID 83843-2387

Fax (208) 882-3572

Mailing address

320 N Garfield St
Moscow, ID 83843-3666

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-6260 (ID)

Professional Counselor: Definition to come...

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About NPI 1669825451

Vanessa Matossian, M.S., L.P.C.'s National Provider Identifier is 1669825451, issued on Jul 18, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moscow, ID. The record was last updated on Jul 18, 2016.