Individual
SAMUEL KYLE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
1609 HORTON AVE, NASHVILLE, TN 37212-2827
(615) 669-9786
Mailing address
1609 HORTON AVE, NASHVILLE, TN 37212-2827
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4615
TN
Other
Enumeration date
06/10/2021
Last updated
02/28/2023
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