Individual
JODI LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IADC
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 243-7232
Mailing address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 243-7232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15020
IA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255578233
—
IA
Enumeration date
01/14/2009
Last updated
01/24/2022
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