Individual
DAVID MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10339A DEMOCRACY LN, FAIRFAX, VA 22030-2521
(703) 624-6556
Mailing address
PO BOX 30, FAIRFAX, VA 22038-0030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
701003190
VA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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