Michael Masterson, CSAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Leicester, NC
NPI 1962816017 · NPPES record last updated Jun 17, 2014
Key facts
- NPI
- 1962816017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 13775 (NC)
- Practice address
- 631 Willow Creek Rd
Leicester, NC 28748-5646 - Phone
- (828) 318-0148
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13775 | NC | Yes |
Addresses
Primary practice location
631 Willow Creek Rd
Leicester, NC 28748-5646
Mailing address
631 Willow Creek Rd
Leicester, NC 28748-5646
Phone (828) 318-0148
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13775 | Other | NC | NCSAPPB |
Other providers in Leicester, NC
- Leicester Heights Family Care
- Leicester Volunteer Fire Department Inc
- Andrea Lencse
- Kelly Ryan Malone
- Maryia Martineau
- Larry Allen Mitchell
- Jessica Mund
- Maria Muscarella
- David Adam Neal
- Nutz R US
All providers in Leicester, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.