| Doctor Name: | MARK ROGER MASON |
| NPI Number: | 1831132208 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC, MDIV, PH D |
| License Number: | 1032 |
| Business Practice Address: | 3002 Shadyside Rd St Albans, WV - 25177 |
| Business Phone Number: | 3047550000 |
| Business Fax Number: | |
| Mailing Address: | 3002 Shadyside Rd, ST ALBANS |
| State: | WV |
| Postal Code: | 25177 |
| Phone Number: | 3047550000 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1032 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |