Individual
DEATEN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
(740) 876-4005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
162459
OH
1041C0700X
Clinical Social Worker
S.2309631
OH
Other
Enumeration date
10/11/2019
Last updated
10/30/2023
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