Individual
MR. NICOLAS FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, IADC, NCGC-II
Contact information
Practice address
1340 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2623
(319) 753-6567
(319) 753-0703
Mailing address
1340 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2623
(319) 753-6567
(319) 753-0703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16089
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16089
IOWA BOARD OF CERTIFICATION
IA
Enumeration date
05/18/2017
Last updated
07/21/2022
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