Haskins, Deron Mason

Haskins, Deron Mason is an individual health care provider with primary practice located at 100 E Wardlow Rd , Long Beach CA 90807-4417. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Haskins, Deron Mason can be contacted via phone (562) 427-6818.

Contact Information

Primary practice address
100 E Wardlow Rd Long Beach CA 90807-4417
Phone: (562) 427-6818
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CERT# H0412241242 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X LBSW# 21021 Texas

Profile Details

NPI number 1689719965
LBN Legal business name Haskins, Deron Mason
Credentials M.A., R.A.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689719965 NPPES
California Other 23706 DV COUNSELOR
California Other H0412241242 DV COUNSELOR

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