Individual
CAROL MASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25901 EMERY RD, WARRENSVILLE HEIGHTS, OH 44128-5774
(216) 765-4470
Mailing address
25901 EMERY RD, WARRENSVILLE HEIGHTS, OH 44128-5774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.141028
OH
101YM0800X
Mental Health Counselor
Primary
E.1000360
OH
Other
Enumeration date
01/13/2015
Last updated
02/19/2015
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