Individual
TAYLOR MASOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
1003 W 7TH ST STE 403, FREDERICK, MD 21701-8532
(240) 575-9688
Mailing address
1003 W 7TH ST STE 403, FREDERICK, MD 21701-8532
(240) 575-9688
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP9586
MD
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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