Individual
VANESSA MATOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
(208) 882-3572
Mailing address
320 N GARFIELD ST, MOSCOW, ID 83843-3666
(208) 596-9971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6260
ID
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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