Individual provider · Type 1 NPI

Deetra Michelle Mason

Counselor · Champaign, IL

NPI number 1972798890 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Call (217) 373-2436 Map

Fax (217) 373-2444

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1972798890

Deetra Michelle Mason's National Provider Identifier is 1972798890, issued on Sep 13, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Champaign, IL. The record was last updated on Sep 13, 2007.