NPI 1003230723

Sam Mason

Practitioner Pastoral Counselor Paola, KS

Practice location

Address: 310 N Hospital Dr, Paola, KS 66071-1304
Phone: (913) 294-9175
Fax: (913) 294-9175

Registered specialties

Pastoral Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP1600X Licence 101YP1600X (KS)

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Registry record

NPI: 1003230723
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2014
Record last updated: 17 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.