Individual
JESSEY L. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3419 ENGLISH AVE, INDIANAPOLIS, IN 46201-4328
(317) 880-8491
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000782A
IN
1041C0700X
Clinical Social Worker
Primary
34006695A
IN
Other
Enumeration date
04/19/2013
Last updated
09/24/2025
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