Provider Demographics
NPI:1790937423
Name:MASON, STEVEN MICHAEL (LPC-S, ADC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:MASON
Suffix:
Gender:M
Credentials:LPC-S, ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 HAPPY HOLLOW RD STE 201
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-2545
Mailing Address - Country:US
Mailing Address - Phone:205-207-5688
Mailing Address - Fax:
Practice Address - Street 1:7101 HAPPY HOLLOW RD STE 201
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2545
Practice Address - Country:US
Practice Address - Phone:205-207-5688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2511101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional