Individual
MATTHEW CLARK MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
7801 E BUSH LAKE RD, EDINA, MN 55439-3120
(952) 479-4261
Mailing address
7801 E BUSH LAKE RD STE 400, EDINA, MN 55439-3113
(612) 481-9063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
MN
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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