Provider Demographics
NPI:1063602860
Name:MASON, DANYELA (MFT)
Entity type:Individual
Prefix:
First Name:DANYELA
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1452 OREGON ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1620
Mailing Address - Country:US
Mailing Address - Phone:530-217-9464
Mailing Address - Fax:530-232-2205
Practice Address - Street 1:1452 OREGON ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1620
Practice Address - Country:US
Practice Address - Phone:530-217-9464
Practice Address - Fax:530-232-2205
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT38729106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist