Individual
SAMANTHA MASONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
277 HYDRAULIC RIDGE RD STE 102, CHARLOTTESVILLE, VA 22901-8127
(434) 249-8608
Mailing address
PO BOX 393, IVY, VA 22945-0393
(434) 249-8608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012662
VA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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