Individual
MARK CHRISTOPHER DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 E STATE ST, STE 301, MASON CITY, IA 50401-3300
(641) 201-1521
(641) 201-1521
Mailing address
PO BOX 912, MASON CITY, IA 50402-0912
(641) 201-1521
(641) 201-1521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
97003
IA
101YM0800X
Mental Health Counselor
Primary
00293
IA
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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