Individual
LORETTA SUE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDC I
Contact information
Practice address
3001 C ST, ANCHORAGE, AK 99503-3913
(907) 273-4008
Mailing address
911 N RAINBOW PARK DR, WASILLA, AK 99623-9240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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