Individual
BEVERLI D MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMCHA
Contact information
Practice address
10231 CHRIS DR, INDIANAPOLIS, IN 46229-1875
(317) 224-9644
Mailing address
10231 CHRIS DR, INDIANAPOLIS, IN 46229-1875
(317) 224-9644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000954A
IN
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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