Individual
DIANA MASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 SHREWSBURY ST, CHARLESTON, WV 25301-1211
(304) 541-9820
(855) 815-7553
Mailing address
841 SOMERSET DR, CHARLESTON, WV 25302-2737
(304) 541-9820
(855) 815-7553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1797
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001803458
GROUP BCBS #
WV
01
—
001850788
IND. BCBS PROVIDER #
WV
Enumeration date
04/02/2007
Last updated
01/04/2019
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