Individual
MR. KENT B MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
752 OTT ST, HARRISONBURG, VA 22801-3214
(540) 564-5960
(540) 433-4338
Mailing address
235 CANTRELL AVE, HARRISONBURG, VA 22801-3248
(540) 564-5960
(540) 433-4338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003890
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010255058
—
VA
01
—
089892M
SENTARA PROVIDER NUMBER
VA
01
—
1164637518
GROUP NPI NUMBER
VA
01
—
11716651
CAQH PROVIDER NUMBER
VA
01
—
191486
ANTHEM PROVIDER NUMBER
VA
01
—
2275355
CIGNA
VA
01
—
C05754
MEDICARE GROUP NUMBER
VA
Enumeration date
08/12/2006
Last updated
04/28/2008
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