Individual
OLIVIA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
413 NORTH HOMER STREET, RUSTON, LA 71270
(318) 436-4197
Mailing address
413 NORTH HOMER STREET, RUSTON, LA 71270
(318) 436-4197
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT1422
LA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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