Individual
MASON GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 227-8426
Mailing address
70 DONALD AVE, ROCKY MOUNT, VA 24151-1114
(423) 612-9605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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