Individual
GAIL MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
268 ALLISON RD, BREVARD, NC 28712-3065
(828) 508-6753
Mailing address
158 HAWTHORNE DR, BREVARD, NC 28712-3014
(828) 508-6753
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
24543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24543
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
01/02/2021
Last updated
01/02/2021
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