Individual
JANZIE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W BROADWAY STE 270, COUNCIL BLUFFS, IA 51503-9028
(712) 256-7511
Mailing address
1301 JONES ST STE 511, OMAHA, NE 68102-3248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23091
IA
104100000X
Social Worker
Primary
125260
IA
Other
Enumeration date
03/15/2024
Last updated
09/12/2024
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