JOHN MASON

GOODING, ID
NPI1467813196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  10219)
Enumeration Date2016-03-08
Last Update Date2016-03-08
Business Address
-- JOHN MASON BA, CADC
605 11TH AVE E
GOODING, ID 83330-5368
Phone number: 208-934-8461
Mailing Address
-- JOHN MASON BA, CADC
605 11TH AVE E
GOODING, ID 83330-5368
Phone number: 208-934-8461
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PRO ACTIVE ADVANTAGE, LLC