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Deetra Michelle Mason
Counselor in Champaign, Illinois
NPI 1972798890

Deetra Michelle Mason is a Counselor based in Champaign, IL. Deetra Michelle Mason practices in Champaign, IL. The NPI Number for Deetra Michelle Mason is 1972798890 and holds a License No. (Illinois).

The current practice location address for Deetra Michelle Mason is 202 W Park Ave, Champaign, IL and can be reached out via phone at 217-373-2436 and via fax at 217-373-2444. You can also correspond with Deetra Michelle Mason through the mailing address at 202 W PARK AVE, CHAMPAIGN, IL - 61820-3929 (mailing address contact number: 217-373-2436).

Location: 202 W Park Ave, Champaign, IL, 61820-3929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972798890
Provider Name
Deetra Michelle Mason
Credential
Provider Entity Type
Individual
Gender
Female
Address
202 W Park Ave, Champaign, IL, 61820-3929
Phone Number
217-373-2436
Fax Number
217-373-2444
Provider Enumeration Date
09/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
202 W Park Ave
City
Champaign
State
Illinois
Zip
61820-3929
Phone Number
217-373-2436
Fax Number
217-373-2444
person
Provider Business Mailing Address Details
Address
202 W Park Ave
City
Champaign
State
Illinois
Zip
61820-3929
Phone Number
217-373-2436
Fax Number
217-373-2444
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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