Individual
CARLEY JACQUELYNN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
79 13TH AVE NE STE 103B, MINNEAPOLIS, MN 55413-1071
(952) 808-1400
Mailing address
1609 COUNTY ROAD 42 W STE 309, BURNSVILLE, MN 55306-6213
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4180
MN
Other
Enumeration date
05/31/2023
Last updated
06/19/2023
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