Individual
MS. MELANIE JEAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS, CFSP
Contact information
Practice address
611 RANDY DR, IDAHO FALLS, ID 83401
(208) 243-2223
Mailing address
611 RANDY DR, IDAHO FALLS, ID 83401
(208) 243-2223
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
—
ID
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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