Individual
MICHAEL MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
631 WILLOW CREEK RD, LEICESTER, NC 28748-5646
(828) 318-0148
Mailing address
631 WILLOW CREEK RD, LEICESTER, NC 28748-5646
(828) 318-0148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13775
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13775
NCSAPPB
NC
Enumeration date
06/17/2014
Last updated
06/17/2014
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