Provider Demographics
NPI:1538400569
Name:SCHUBERT, MASON (LMFT)
Entity type:Individual
Prefix:
First Name:MASON
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17674 ALEXANDRIA CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89508-5063
Mailing Address - Country:US
Mailing Address - Phone:775-815-2772
Mailing Address - Fax:
Practice Address - Street 1:888 W 2ND ST STE 101
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5640
Practice Address - Country:US
Practice Address - Phone:775-815-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1011106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist