Individual
NICOLE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
Mailing address
44880 GOLDEN EYE CT, CALLAWAY, MD 20620-2342
(301) 997-1300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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