Individual
MARY MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E STATE ST STE 624, MASON CITY, IA 50401-3327
(641) 450-6007
Mailing address
103 E STATE ST STE 624, MASON CITY, IA 50401-3327
(641) 450-6007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11342
CA
101YM0800X
Mental Health Counselor
115445
IA
101YP2500X
Professional Counselor
Primary
115445
IA
Other
Enumeration date
02/22/2016
Last updated
12/12/2022
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