NPI 1073974895

Stephen Daniel Blackman, BA

Practitioner Addiction (Substance Use Disorder) Counselor Mason City, IA

Practice location

Address: 320 N Eisenhower Ave, Mason City, IA 50401-1521
Phone: (641) 243-7235

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1073974895
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2016
Record last updated: 8 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.