Individual
SHANASI MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7041 20TH AVE S, CENTERVILLE, MN 55038
(651) 407-3631
Mailing address
7041 20TH AVE S, CENTERVILLE, MN 55038
(651) 407-3631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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