Individual provider · Type 1 NPI
Mason Alan Decambaliza
Professional Counselor · New Brighton, MN
NPI number
1245099589
Active
Practice location
1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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- Susanna Elizabeth MatlonProfessional Counselor New Brighton, MN NPI 1093570517
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About NPI 1245099589
Mason Alan Decambaliza's National Provider Identifier is 1245099589, issued on Mar 18, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Brighton, MN. The record was last updated on Apr 8, 2024.