Individual
STEPHEN DANIEL BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 243-7235
Mailing address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 243-7235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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