Individual
ANGELA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 JEFFERSON ST, GREENFIELD, OH 45123-1365
(937) 981-7701
Mailing address
4449 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/14/2021
Last updated
05/03/2023
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