Individual
LINDA ALICE WOOLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
(641) 424-0783
Mailing address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
(641) 424-0783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07117
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07117
ACADC
IA
Enumeration date
04/03/2019
Last updated
04/03/2019
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