Individual
ANTHONY CHARLES MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COMMUNITY SUPPORT WO
Contact information
Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 522-4004
(575) 522-9017
Mailing address
159 SHAWNEE, LAS CRUCES, NM 88007-1144
(575) 296-4990
(575) 522-9017
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
Primary
823
NM
Other
Enumeration date
01/04/2019
Last updated
02/04/2026
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