Provider Demographics
NPI:1235837584
Name:MASON, KARA (LCMHCA)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:SANTUCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:407 N JUDD PKWY NE
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2374
Mailing Address - Country:US
Mailing Address - Phone:919-285-2399
Mailing Address - Fax:919-285-4700
Practice Address - Street 1:407 N JUDD PKWY NE
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2374
Practice Address - Country:US
Practice Address - Phone:919-285-2399
Practice Address - Fax:919-285-4700
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18519101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health