John David Mason, MFT

Individual provider Active NPI Marriage & Family Therapist · Lafayette, CA

NPI 1295837276 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295837276
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC39531 (CA)
Practice address
3468 Mt Diablo Blvd
Suite B 201
Lafayette, CA 94549-3957
Phone
(925) 942-5727
Fax
(925) 284-1599
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC39531CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39531 CA Yes

Addresses

Primary practice location

3468 Mt Diablo Blvd
Suite B 201
Lafayette, CA 94549-3957

Mailing address

3468 Mt Diablo Blvd
Suite B 201
Lafayette, CA 94549-3957
Phone (925) 942-5727

Other providers in Lafayette, CA

All providers in Lafayette, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.