Individual
MASON HULBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11809 LIMA RD, FORT WAYNE, IN 46818-9556
(260) 484-6500
Mailing address
415 TREELINE CV, FORT WAYNE, IN 46825-1129
(765) 621-8960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99120051A
IN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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