Individual
KIM MASCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
819 W 21ST ST STE 200, NORFOLK, VA 23517-1539
(757) 319-4650
Mailing address
819 W 21ST ST STE 200, NORFOLK, VA 23517-1539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011572
VA
101YM0800X
Mental Health Counselor
17252
FL
Other
Enumeration date
10/03/2019
Last updated
06/30/2022
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