Provider Demographics
NPI:1154929818
Name:CHINOUYAZUE-MASON, MARIEL (MED, LPC)
Entity type:Individual
Prefix:
First Name:MARIEL
Middle Name:
Last Name:CHINOUYAZUE-MASON
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:MARIEL
Other - Middle Name:
Other - Last Name:CHINOUYAZUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5857
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77325-5857
Mailing Address - Country:US
Mailing Address - Phone:832-233-3086
Mailing Address - Fax:832-415-3050
Practice Address - Street 1:1801 KINGWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3059
Practice Address - Country:US
Practice Address - Phone:832-233-3086
Practice Address - Fax:832-415-3050
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82380101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82380OtherTEXAS STATE BOARD OF PROFESSIONAL COUNSELORS