Individual provider · Type 1 NPI
Tyvisha C. Mason, ACSW
Student in an Organized Health Care Education/Training Program · Yountville, CA
NPI number
1619556834
Active
Practice location
260 Califronia Drive
Yountville, CA 94599-3911
Mailing address
260 California Dr
Yountville, CA 94599-1412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 99258 (CA) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1619556834
Tyvisha C. Mason, ACSW's National Provider Identifier is 1619556834, issued on Apr 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Yountville, CA. The record was last updated on Sep 3, 2024.