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Search › Ohio › 101YA0400X

Mason Clifford

NPI 1174376719 · on the registry since 2024 · sole proprietor

Practice

Address
1071 Tong Hollow Rd
Bainbridge, OH 45612
Phone
(740) 313-0569
Organisation at this address
Lighthouse Youth Services Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
147

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio