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NPI Code Detail

MEDICARE: PAULA MEADOWS MASON

MEDICARE: PAULA MEADOWS MASON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor0704013828VA

General Provider Information

NPI Number : 1679242622
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA MEADOWS MASON
Provider Business Mailing Address
First Line : 10725 WEBB RD
Second Line :
City : DISPUTANTA
State : VA
Zip : 23842-7524
Country : US
Telephone Number : 757-339-0358
Fax Number :
Provider Business Practice Location Address
First Line : 1545 CROSSWAYS BLVD STE 250
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-0218
Country : US
Telephone Number : 757-339-0358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2021
Last Update Date : 01/21/2026

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Directions to “ PAULA MEADOWS MASON ” Practice Location

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