person
Benjamin Brent Calvert Mason, LPC-IT
Professional Counselor in West Bend, Wisconsin
NPI 1700502960

Benjamin Brent Calvert Mason is a Professional Counselor based in West Bend, WI and is specialized in Professional. Benjamin Brent Calvert Mason practices in West Bend, WI and has the professional credentials of LPC-IT. The NPI Number for Benjamin Brent Calvert Mason is 1700502960 and holds a License No. 7120-226 (Wisconsin).

The current practice location address for Benjamin Brent Calvert Mason is 333 E Washington St Ste 2100, West Bend, WI and can be reached out via phone at 262-335-4584 and via fax at 262-335-6827.

Location: 333 E Washington St Ste 2100, West Bend, WI, 53095-2503
person
Provider Profile Details
NPI Number
1700502960
Provider Name
Benjamin Brent Calvert Mason
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Male
Address
333 E Washington St Ste 2100, West Bend, WI, 53095-2503
Phone Number
262-335-4584
Fax Number
262-335-6827
Provider Enumeration Date
10/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 E Washington St Ste 2100
City
State
Zip
53095-2503
Phone Number
262-335-4584
Fax Number
262-335-6827
person
Provider Business Mailing Address Details
Address
333 E Washington St Ste 2100
City
State
Zip
53095-2503
Phone Number
262-335-4584
Fax Number
262-335-6827
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7120-226 (Wisconsin)
Definition
Definition to come...
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