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Individual

MR. GREGORY ALAN MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC CMHC

Contact information

Practice address
1916 N 700 W, SUITE 241, LAYTON, UT 84041-5673
(801) 690-3502
Mailing address
475 N 300 W, SUITE 10, KAYSVILLE, UT 84037-3125
(801) 690-3502
(801) 546-3422

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
68222416004
UT
1041C0700X
Clinical Social Worker
6822241-6004
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8205653-0162
UTAH BUSINESS REGISTRY
UT
Enumeration date
06/07/2010
Last updated
09/13/2013
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