Individual
KATRINA CLAUDIA-LEE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP-T
Contact information
Practice address
8649 MARTIN WAY E, LACEY, WA 98516-5812
(360) 515-0422
(360) 915-9488
Mailing address
8649 MARTIN WAY E, LACEY, WA 98516-5812
(360) 515-0422
(360) 915-9488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61049531
WA
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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