Individual provider · Type 1 NPI
Matthew Clark Mason, LADC
Addiction (Substance Use Disorder) Counselor · Edina, MN
NPI number
1235945791
Active
Practice location
7801 E Bush Lake Rd
Edina, MN 55439-3120
Mailing address
7801 E Bush Lake Rd Ste 400
Edina, MN 55439-3113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 101YA0400X (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1235945791
Matthew Clark Mason, LADC's National Provider Identifier is 1235945791, issued on Dec 9, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edina, MN. The record was last updated on Dec 9, 2024.