Individual
MR. BRIAN O. MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LMSW
Contact information
Practice address
214 PENTECOST HWY, ONSTED, MI 49265-9638
(815) 245-6834
Mailing address
214 PENTECOST HWY, ONSTED, MI 49265-9638
(815) 245-6834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149007751
IL
1041C0700X
Clinical Social Worker
6801119163
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149007751
LICENSED CLINICAL SOCIAL WORKER
IL
Enumeration date
09/12/2007
Last updated
06/10/2025
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