Individual
SHANTISSE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1401 S EDGEWOOD ST STE 100, HALETHORPE, MD 21227-1145
(410) 275-0928
Mailing address
PO BOX 2531, ELLICOTT CITY, MD 21041-2531
(410) 275-0928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7013
MD
Other
Enumeration date
05/11/2016
Last updated
11/26/2025
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