Individual
MR. DERON MASON HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., R.A.S.
Contact information
Practice address
100 E WARDLOW RD, LONG BEACH, CA 90807-4417
(562) 427-6818
Mailing address
731 W 148TH ST, GARDENA, CA 90247-2717
(310) 217-9338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CERT# H0412241242
CA
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LBSW# 21021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23706
DV COUNSELOR
CA
01
—
H0412241242
REGISTERED ADDICTION SPEC
CA
Enumeration date
02/21/2007
Last updated
09/11/2025
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