Individual
JAMESON MICHAEL MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CADC
Contact information
Practice address
1520 6TH ST SW, MASON CITY, IA 50401-4820
(641) 423-4180
(641) 421-6023
Mailing address
1520 6TH ST SW, MASON CITY, IA 50401-4820
(641) 423-4180
(641) 421-6023
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000355
IA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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