Individual
ASHLEY GAYNELL MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
910 PIERREMONT RD STE 300, SHREVEPORT, LA 71106-2056
(318) 562-6616
Mailing address
910 PIERREMONT RD STE 300, SHREVEPORT, LA 71106-2056
(318) 562-6616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
LA
Other
Enumeration date
06/24/2025
Last updated
06/25/2025
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