Mason Alan Decambaliza
NPI #1245099589 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1245099589
- Entity Type
- Individual
- Name
- Mason Alan Decambaliza
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 18, 2024
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 1900 SILVER LAKE RD NW
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-1786
- Phone
- (651) 628-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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