Individual
MR. DERRICK A MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1048 ASHLEY ST STE 201, BOWLING GREEN, KY 42103-2449
(270) 904-6567
Mailing address
1048 ASHLEY ST STE 201, BOWLING GREEN, KY 42103-2449
(270) 904-6567
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
09-013
KY
106H00000X
Marriage & Family Therapist
Primary
106719
KY
Other
Enumeration date
04/27/2010
Last updated
07/21/2022
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