Healthcare Provider Details
I. General information
NPI: 1003306663
Provider Name (Legal Business Name): CHRISTINA MASON LCSW, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/18/2018
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PO BOX 185
INDIAN SPRINGS NV
89018-0185
US
IV. Provider business mailing address
PO BOX 185
INDIAN SPRINGS NV
89018-0185
US
V. Phone/Fax
- Phone: 702-265-2994
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 00759-C |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 12295-C |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: