Provider Demographics
NPI:1649619248
Name:MASON, SHERRY A'LISA (LCMHC)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:A'LISA
Last Name:MASON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 US HIGHWAY 70 E STE A
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-6829
Mailing Address - Country:US
Mailing Address - Phone:910-289-2610
Mailing Address - Fax:
Practice Address - Street 1:1702 US HIGHWAY 70 E STE A
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-6829
Practice Address - Country:US
Practice Address - Phone:252-631-2658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10248101YP2500X
NC10248101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional