Individual
MRS. KEMBA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
152 CAPCOM AVE STE 101, WAKE FOREST, NC 27587-6585
(919) 342-8873
Mailing address
1105 FANNING DR, WAKE FOREST, NC 27587-4489
(919) 441-3418
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A13900
NC
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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