# ALCOHOL & DRUG DEPENDENCY SERVICES OF SE IOWA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073440434
- **Authorized official:** LENA JONES (ASSOCIATE DIRECTOR FOR ADMIN)
- **Authorized official phone:** (319) 753-6567

## Contact information

- **Practice address:** 5001 AVENUE O, FORT MADISON, IA 52627-9676
- **Practice address phone:** (319) 753-6567
- **Mailing address:** 1340 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2623
- **Mailing address phone:** (319) 753-6567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2026
- **Last updated:** 05/07/2026