Individual
CHARLES ALLEN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA MCAP
Contact information
Practice address
4320 S HOPKINS AVE, TITUSVILLE, FL 32780-6610
(352) 505-2432
Mailing address
528 ELLIOT DR, MERRITT ISLAND, FL 32952-4016
(321) 536-2690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP100879
FL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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