Individual
MASON ANTHONY MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R, CRM 1
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 606-3308
Mailing address
760 W 8TH AVE, EUGENE, OR 97402-5165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1780
OR
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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