Tanikka Mason
NPI #1285182246 in Petersburg, Virginia
Provider Information
- NPI Number
- 1285182246
- Entity Type
- Organization
- Organization Name
- Tanikka Mason
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 19, 2016
- Last Updated
- Sep 19, 2016
Practice Location
- Address
- 2002 WAKEFIELD AVE
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-2112
- Phone
- (804) 733-1180
Authorized Official
- Name
- MRS. TANIKKA LASHELLE MASON, LCSW
- Title
- CHIEF CLINICAL OFFICER
- Phone
- (804) 733-1180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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