Organization
DIANA MASSO DBA COUNSELING ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MASSO (SOLE OWNER)
(304) 541-9820
Entity
Organization
Contact information
Practice address
3102 CHESTERFIELD AVE, CHARLESTON, WV 25304-1214
(304) 541-9820
(855) 815-7553
Mailing address
3102 CHESTERFIELD AVE, CHARLESTON, WV 25304-1214
(304) 541-9820
(855) 815-7553
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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