Provider Demographics
NPI:1003306663
Name:MASON, CHRISTINA JOY (CADC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:JOY
Last Name:MASON
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:JOY
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:INDIAN SPRINGS
Mailing Address - State:NV
Mailing Address - Zip Code:89018-0185
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:775 E WINSTON
Practice Address - Street 2:
Practice Address - City:INDIAN SPRINGS
Practice Address - State:NV
Practice Address - Zip Code:89018
Practice Address - Country:US
Practice Address - Phone:702-265-2994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00759-C101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)