Doctor Name: | CASEY SUE MASON |
NPI Number: | 1477748473 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA, M.ED., LPCA |
License Number: | KY-0494 |
Business Practice Address: | 15521 Ky 57 Flemingsburg, KY - 41041 |
Business Phone Number: | 6062091241 |
Business Fax Number: | |
Mailing Address: | 15521 Ky 57, FLEMINGSBURG |
State: | KY |
Postal Code: | 41041 |
Phone Number: | 6062091241 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2007 |
NPI Last Update Date: | 09/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | KY-0494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |