Individual
ALIDA S. MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LPC
Contact information
Practice address
806 HAY ST., FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 221-9006
Mailing address
806 HAY ST., FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 221-9006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
571
NC
1041C0700X
Clinical Social Worker
Primary
C001738
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181889
COMPSYCH
NC
01
—
342513
MHN
NC
01
—
54609
BLUE CROSS BLUE SHIELD
NC
05
—
6002660
—
NC
01
—
610925900
US DEPT OF LABOR
NC
Enumeration date
05/18/2006
Last updated
12/31/2018
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