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Individual

DR. RE' MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D., MAC, CAP

Contact information

Practice address
8695 COLLEGE PKWY, SUIT 252, FORT MYERS, FL 33919-4890
(239) 489-4705
(239) 489-2732
Mailing address
8695 COLLEGE PKWY, SUIT 252, FORT MYERS, FL 33919-4890
(239) 489-4705
(239) 489-2732

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
CAP 117
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
MAC 500085
FL

Other

Enumeration date
04/24/2008
Last updated
04/24/2008
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