Individual
TONIA LYN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
150 CONGRESS ST, RUMFORD, ME 04276-2035
(207) 364-3549
Mailing address
6 OAK ST APT 1, MEXICO, ME 04257-1229
(207) 418-1359
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6612
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962591230
—
ME
Enumeration date
03/25/2019
Last updated
03/25/2019
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