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Individual
LAURA MASON
Active
Individual
LAURA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6594
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6594
SC
101YP2500X
Professional Counselor
5712
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD01AK
—
SC
Enumeration date
12/11/2013
Last updated
11/07/2019
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