MEDICARE: DR. JARED MASSANARI NCLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	2280	NC

General Provider Information

NPI Number	:	1811421506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED MASSANARI NCLPC

Provider Business Mailing Address
First Line	:	PO BOX 18958
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28814-0958
Country	:	US
Telephone Number	:	828-251-1948
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 CHATHAM RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28804-3361
Country	:	US
Telephone Number	:	828-251-1948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2017
Last Update Date	:	04/19/2017

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