Mikki K Mason
Addiction Counselor (Substance Use Disorder)
9245 Quantrelle Ave Ne
Otsego
, Minnesota 55330-0168
Mikki K Mason
Addiction Counselor (Substance Use Disorder)
9245 Quantrelle Ave Ne
Otsego
, Minnesota 55330-0168
(612) 532-1020
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mikki K Mason
- 5645 Green Circle Dr Apt 200
- Minnetonka, MN
- Zip : 55343-9658
- Phone : (612) 532-1020
Second Address
- Mikki K Mason
- 9245 Quantrelle Ave Ne
- Otsego, MN
- Zip : 55330-0168
- Phone : (763) 308-8619
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FAQs
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What is Mikki K Mason ’s gender?
Is Mikki K Mason a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 304777 | MN |
National Provider Identifier
| NPI | 1003578758 |
|---|---|
| Provider Name | Mikki K Mason |
| First Address | Minnetonka, MN 55343-9658 |
| Second Address | Otsego, MN 55330-0168 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.