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Organization

ALIDA S MASON LPC LCSW PLLC

Active
Other names
MASON AND ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON A TOWNSEND (BILLING MANAGER)
(910) 860-7008
Entity
Organization

Contact information

Practice address
131 W EDINBOROUGH AVE, RAEFORD, NC 28376-2825
(910) 848-0700
(910) 848-0222
Mailing address
PO BOX 35863, FAYETTEVILLE, NC 28303-0863
(910) 221-5269
(910) 221-9006

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
243
NC
101YM0800X
Mental Health Counselor
5199
NC
103T00000X
Psychologist
1347
NC
103T00000X
Psychologist
Primary
3183
NC
1041C0700X
Clinical Social Worker
1738
NC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
36397
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6005855
NC
Enumeration date
11/08/2006
Last updated
04/10/2008
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