Individual
PHILIP DUANE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS IADC
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50402-1338
(641) 424-2391
(641) 424-0783
Mailing address
PO BOX 1338, 320 N EISENHOWER AVE, MASON CITY, IA 50402-1338
(641) 424-2391
(641) 424-0783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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