person
Mrs. Diane Elaine Masullo, MS,LPC,LMFT
Professional Counselor in Copperas Cove, Texas
NPI 1568695195

Diane Elaine Masullo is a Professional Counselor based in Lampasas, TX and is specialized in Professional. Diane Elaine Masullo practices in Copperas Cove, TX and has the professional credentials of MS,LPC,LMFT. The NPI Number for Diane Elaine Masullo is 1568695195 and holds a License No. 63673 (Texas).

The current practice location address for Diane Elaine Masullo is 1003 W Business 190, Copperas Cove, TX and can be reached out via phone at 254-547-3040 and via fax at 800-516-3152.

Location: 1003 W Business 190, Copperas Cove, TX, 76550-7600
person
Provider Profile Details
NPI Number
1568695195
Provider Name
Diane Elaine Masullo
Credential
MS,LPC,LMFT
Provider Entity Type
Individual
Gender
Female
Address
1003 W Business 190, Copperas Cove, TX, 76550-7600
Phone Number
254-547-3040
Fax Number
800-516-3152
Provider Enumeration Date
08/31/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
63673 01 TX LPC STATE LICENSE TEXAS
institution
Provider Business Practice Location Address Details
Address
1003 W Business 190
City
State
Zip
76522-3886
Phone Number
254-547-3040
Fax Number
800-516-3152
person
Provider Business Mailing Address Details
Address
1003 W Business 190
City
State
Zip
76522-3886
Phone Number
254-547-3040
Fax Number
800-516-3152
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
63673 (Texas)
Definition
Definition to come...
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