Individual
JESSICA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 6TH AVE, TROY, NY 12180-2227
(518) 274-5143
(518) 273-1350
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4528
(518) 952-8368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
38042
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
40722
NY
Other
Enumeration date
08/19/2022
Last updated
06/03/2025
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