Individual
MICHAEL J MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
515 N 10TH ST, VIRGINIA TREATMENT CENTER FOR CHILDREN, RICHMOND, VA 23298-5040
(804) 828-3129
(804) 282-7814
Mailing address
PO BOX 91734, RICHMOND, VA 23298-0510
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005207
VA
Other
Enumeration date
04/17/2012
Last updated
06/20/2012
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