Individual
MASON JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 425-0300
Mailing address
12601 ZUNI ST # 1-206, BROOMFIELD, CO 80020-3813
(970) 778-0072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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