Doctor Name: | MS. SHERRY A'LISA MASON |
NPI Number: | 1649619248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-A |
License Number: | A10248 |
Business Practice Address: | 416 W Ridge St Rose Hill, NC - 284580880 |
Business Phone Number: | 9102892610 |
Business Fax Number: | 9102894410 |
Mailing Address: | Po Box 880, ROSE HILL |
State: | NC |
Postal Code: | 284580880 |
Phone Number: | 9102892610 |
Fax Number: | 9102894410 |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A10248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |