Doctor Name: | MARTHA MASON |
NPI Number: | 1467818153 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LPC-1568 |
Business Practice Address: | 13055 W Mcdowell Rd Suite G-112 Avondale, AZ - 853926449 |
Business Phone Number: | 6237925021 |
Business Fax Number: | 6237925262 |
Mailing Address: | 218 E Eugie Ave, PHOENIX |
State: | AZ |
Postal Code: | 850224726 |
Phone Number: | 6028660370 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2016 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-1568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |