Individual
MR. MARK A MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 292-8770
(845) 513-2110
Mailing address
84 ADEN RD # 2, LIBERTY, NY 12754-2507
(845) 292-3685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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