Individual
MR. JESSE MASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2131 S EASTGATE AVE, SPRINGFIELD, MO 65809-2146
(855) 593-4357
Mailing address
2131 S EASTGATE AVE, SPRINGFIELD, MO 65809-2146
(417) 708-8813
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017038401
MO
101YP2500X
Professional Counselor
2695
KS
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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