person
Mr. Mijikai Mason
Mental Health Counselor in Fort Pierce, Florida
NPI 1659078715

Mijikai Mason is a Mental Health Counselor based in Fort Pierce, FL and is specialized in Mental Health. Mijikai Mason practices in Fort Pierce, FL. The NPI Number for Mijikai Mason is 1659078715 and holds a License No. (Florida).

The current practice location address for Mijikai Mason is 2011 S 25Th St Ste 108, Fort Pierce, FL and can be reached out via phone at 772-242-1079 and via fax at 772-242-1296.

Location: 2011 S 25Th St Ste 108, Fort Pierce, FL, 34947-4795
person
Provider Profile Details
NPI Number
1659078715
Provider Name
Mijikai Mason
Credential
Provider Entity Type
Individual
Gender
Male
Address
2011 S 25Th St Ste 108, Fort Pierce, FL, 34947-4795
Phone Number
772-242-1079
Fax Number
772-242-1296
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 01 FL 101YM0800X
institution
Provider Business Practice Location Address Details
Address
2011 S 25Th St Ste 108
City
State
Zip
34947-4795
Phone Number
772-242-1079
Fax Number
772-242-1296
person
Provider Business Mailing Address Details
Address
2011 S 25Th St Ste 108
City
State
Zip
34947-4795
Phone Number
772-242-1079
Fax Number
772-242-1296
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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