Individual
ELIETRENAY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 CHEVELLE CT, BATON ROUGE, LA 70806-6502
(225) 303-0212
Mailing address
9771 JEFFERSON HWY APT 33, BATON ROUGE, LA 70809-2701
(225) 288-3103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PLC10034
LA
171M00000X
Case Manager/Care Coordinator
Primary
PLC10034
LA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
05/18/2021
Last updated
12/27/2024
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