| Doctor Name: | MRS. DONNA JOSEPHINE MASTERSON |
| NPI Number: | 1073645198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCDC |
| License Number: | 261 |
| Business Practice Address: | 2307 W Harris Ave San Angelo, TX - 769013718 |
| Business Phone Number: | 3259477729 |
| Business Fax Number: | 3259479755 |
| Mailing Address: | 2307 W Harris Ave, SAN ANGELO |
| State: | TX |
| Postal Code: | 769013718 |
| Phone Number: | 3259477729 |
| Fax Number: | 3259479755 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 261 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |