Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEETRA MICHELLE MASON
ActiveDEETRA MICHELLE MASON is a Counselor healthcare provider located in CHAMPAIGN, Illinois. NPI 1972798890 is currently active in the NPPES registry. Verify at CMS.
Counselor · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1972798890
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2007 (18.874265730528 yrs)
- Last Updated
- Sep 13, 2007
Practice Information
- Address
-
202 W PARK AVECHAMPAIGN, IL, 618203929Browse IL providers · Browse ZIP 61820
- Phone
- 2173732436
- Fax
- 2173732444
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CHALAINE L DAVIS | BS LCWE | 1477649473 |
| BETTINA MARIA GARNER EARL | — | 1154470540 |
| MR. TIMOTHY NEAL TAYLOR | MS ED., LCPC | 1205059532 |
| ELIZABETH WAGNER | LCPC ATR-BC | 1306062922 |
| DEBRA FRYE | — | 1215131552 |
| JANET SCHUMACHER SR. | — | 1881898047 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.