Individual
SIERRA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 351-8166
Mailing address
3817 PETOSKEY AVE, 13, CINCINNATI, OH 45227-3846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1627
KY
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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