Mason, Bradley Keith

Mason, Bradley Keith is an sole proprietor health care provider with primary practice located at 811 S Elm St , Georgetown TX 78626-5933. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mason, Bradley Keith can be contacted via phone (512) 696-6250.

Contact Information

Primary practice address
811 S Elm St Georgetown TX 78626-5933
Phone: (512) 696-6250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 18638 Texas

Profile Details

NPI number 1992823900
LBN Legal business name Mason, Bradley Keith
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992823900 NPPES
Texas Other 7081LC BCBS
Texas Other 16269 BCBS

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