Individual
LOUIS ALEXANDER MASSOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5700 E FRANKLIN RD STE 220I, NAMPA, ID 83687-5065
(208) 889-8060
(208) 899-8757
Mailing address
5700 E FRANKLIN RD STE 220I, NAMPA, ID 83687-5065
(208) 889-8060
(208) 899-8757
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1160
ID
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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