(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003578758
Provider Name: MIKKI K MASON LMFT, LADC
Entity Type: Individual
Taxonomy Code: 101YA0400X
Specialty: Counselor
License Number: 304777
Most Important Dates
Enumeration Date: 10/11/2021
Last Updated: 10/11/2021
Provider Practice Location
9245 QUANTRELLE AVE NE
OTSEGO
MN
553300168
Practice Location Phone/Fax
Phone: 7633088619
Fax:
Provider Mailing Location
5645 GREEN CIRCLE DR APT 200
MINNETONKA
MN
553439658
Provider Mailing Phone/Fax
Phone: 6125321020
Fax: